Provider Demographics
NPI:1154614030
Name:CALIFORNIA MEDICAL INJURY & REHABILITATION PHYSICIANS INC
Entity type:Organization
Organization Name:CALIFORNIA MEDICAL INJURY & REHABILITATION PHYSICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBINSON
Authorized Official - Middle Name:R
Authorized Official - Last Name:LANGILLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:619-713-7406
Mailing Address - Street 1:333 H ST
Mailing Address - Street 2:SUITE 2020
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-5555
Mailing Address - Country:US
Mailing Address - Phone:619-713-7406
Mailing Address - Fax:619-923-2632
Practice Address - Street 1:333 H ST
Practice Address - Street 2:SUITE 2020
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-5555
Practice Address - Country:US
Practice Address - Phone:619-713-7406
Practice Address - Fax:619-923-2632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-25
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty