Provider Demographics
NPI:1356377923
Name:ROYAL REHAB INC
Entity type:Organization
Organization Name:ROYAL REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:805-358-3392
Mailing Address - Street 1:5080 SAN FELICIANO DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1623
Mailing Address - Country:US
Mailing Address - Phone:805-358-3392
Mailing Address - Fax:818-592-0673
Practice Address - Street 1:5080 SAN FELICIANO DR
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1623
Practice Address - Country:US
Practice Address - Phone:805-358-3392
Practice Address - Fax:818-592-0673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW17956Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER