Provider Demographics
NPI:1306238563
Name:RM ELITE REHAB GROUP, INC.
Entity type:Organization
Organization Name:RM ELITE REHAB GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:951-454-3848
Mailing Address - Street 1:1251 POMONA RD.
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882
Mailing Address - Country:US
Mailing Address - Phone:951-454-3848
Mailing Address - Fax:951-256-4566
Practice Address - Street 1:1251 POMONA RD.
Practice Address - Street 2:SUITE 108
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882
Practice Address - Country:US
Practice Address - Phone:951-454-3848
Practice Address - Fax:951-256-4566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-25
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT27222261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1720094279OtherINDIVIDUAL NPI