Provider Demographics
NPI:1891753976
Name:REHAB SOLUTIONS
Entity type:Organization
Organization Name:REHAB SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:FONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-553-0263
Mailing Address - Street 1:16520 ASTON
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-4805
Mailing Address - Country:US
Mailing Address - Phone:949-553-0263
Mailing Address - Fax:949-623-2202
Practice Address - Street 1:16520 ASTON
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-4805
Practice Address - Country:US
Practice Address - Phone:949-553-0263
Practice Address - Fax:949-623-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2015-02-17
Deactivation Date:2015-01-13
Deactivation Code:
Reactivation Date:2015-02-17
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5714660001Medicare NSC