Provider Demographics
NPI:1588169924
Name:PROHAB SERVICES LLC
Entity type:Organization
Organization Name:PROHAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:RUHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHUL
Authorized Official - Suffix:
Authorized Official - Credentials:TDPT
Authorized Official - Phone:703-859-2961
Mailing Address - Street 1:180 OUTWEST
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-0836
Mailing Address - Country:US
Mailing Address - Phone:703-969-6812
Mailing Address - Fax:
Practice Address - Street 1:180 OUTWEST
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-0836
Practice Address - Country:US
Practice Address - Phone:703-859-2961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-28
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293042225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty