Provider Demographics
NPI:1932446606
Name:M&C REHAB INC
Entity Type:Organization
Organization Name:M&C REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA LUISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:323-244-7632
Mailing Address - Street 1:2291 W 205TH ST
Mailing Address - Street 2:101
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-1451
Mailing Address - Country:US
Mailing Address - Phone:323-244-7632
Mailing Address - Fax:310-328-3745
Practice Address - Street 1:2291 W 205TH ST
Practice Address - Street 2:101
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-1451
Practice Address - Country:US
Practice Address - Phone:323-244-7632
Practice Address - Fax:310-328-3745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 28855225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty