Provider Demographics
NPI:1770845257
Name:REHABILITATION SOLUTIONS, A PROFESSIONAL MEDICAL CORPORATION
Entity Type:Organization
Organization Name:REHABILITATION SOLUTIONS, A PROFESSIONAL MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:R.N.
Authorized Official - Prefix:
Authorized Official - First Name:ELMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIMANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-646-4797
Mailing Address - Street 1:8159 SANTA MONICA BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-4988
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8205 SANTA MONICA BLVD
Practice Address - Street 2:# 1-299
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-5977
Practice Address - Country:US
Practice Address - Phone:323-646-4797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty