Provider Demographics
NPI:1396437604
Name:REHAB DR YARROZU LLC
Entity type:Organization
Organization Name:REHAB DR YARROZU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:YARROZU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-592-8372
Mailing Address - Street 1:PO BOX 332
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74402
Mailing Address - Country:US
Mailing Address - Phone:918-957-3000
Mailing Address - Fax:918-957-3395
Practice Address - Street 1:1200 W ALBANY DR
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012
Practice Address - Country:US
Practice Address - Phone:918-957-3000
Practice Address - Fax:918-957-3395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation