Provider Demographics
NPI:1902847015
Name:REHABILITATION PHYSICIANS
Entity Type:Organization
Organization Name:REHABILITATION PHYSICIANS
Other - Org Name:STEVEN FEINBERG & LEFKOS AFTONOMOS
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEFKOS
Authorized Official - Middle Name:
Authorized Official - Last Name:AFTONOMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-513-6651
Mailing Address - Street 1:730 POLHEMUS RD
Mailing Address - Street 2:STE 203
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-3976
Mailing Address - Country:US
Mailing Address - Phone:650-356-0076
Mailing Address - Fax:650-349-2762
Practice Address - Street 1:34 N SAN MATEO DR
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2824
Practice Address - Country:US
Practice Address - Phone:650-513-6651
Practice Address - Fax:650-350-4395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA193400000XOtherTAXONOMY
CAZZZ20098ZMedicare PIN