Revitalize Rehab Club

LBN: Revitalize Rehab Club
Revitalize Rehab Club is an health care organization with primary practice located at 3646 Long Beach Blvd Ste 106 , Long Beach CA 90807-6025. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is the primary health care specialty. Revitalize Rehab Club can be contacted via phone (562) 548-0876, or through Ngo, Danh via phone (562) 548-0876.

Contact Information

Primary practice address
3646 Long Beach Blvd Ste 106 Long Beach CA 90807-6025
Phone: (562) 548-0876
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ngo, Danh PT DPT OCS SCS
Phone: (562) 548-0876

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 30340 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 30340 California

Profile Details

NPI number 1346750601
LBN Legal business name Revitalize Rehab Club
DBA Doing business as
Authorized official Ngo, Danh PT DPT OCS SCS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2017
Last updated Oct 2nd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers