Provider Demographics
NPI:1932347457
Name:1 ON 1 REHAB CORPRATION
Entity Type:Organization
Organization Name:1 ON 1 REHAB CORPRATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HOSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYEBI
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:909-620-8443
Mailing Address - Street 1:1902 ROYALTY DR
Mailing Address - Street 2:STE 180
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-3030
Mailing Address - Country:US
Mailing Address - Phone:909-620-8443
Mailing Address - Fax:909-620-8445
Practice Address - Street 1:1902 ROYALTY DR
Practice Address - Street 2:STE 180
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-3030
Practice Address - Country:US
Practice Address - Phone:909-620-8443
Practice Address - Fax:909-620-8445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy