Provider Demographics
NPI:1841920253
Name:REHAB LABS
Entity type:Organization
Organization Name:REHAB LABS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DINORA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVA OLESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-553-9424
Mailing Address - Street 1:38292 WILD POPPY LN
Mailing Address - Street 2:
Mailing Address - City:YUCAIPA
Mailing Address - State:CA
Mailing Address - Zip Code:92399-9449
Mailing Address - Country:US
Mailing Address - Phone:909-553-9424
Mailing Address - Fax:949-269-0672
Practice Address - Street 1:72855 FRED WARING DR STE C20
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-9372
Practice Address - Country:US
Practice Address - Phone:760-404-0360
Practice Address - Fax:949-269-0672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty
No251V00000XAgenciesVoluntary or Charitable
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health