| Washington Outpatient Rehab Center | |
|
39141 Civic Center Dr Suite 120 Fremont CA 94538-5818 | |
| (510) 794-9672 | |
| (510) 792-8138 |
| Full Name | Washington Outpatient Rehab Center |
|---|---|
| Speciality | Clinic/center |
| Location | 39141 Civic Center Dr, Fremont, California |
| Authorized Official Name and Position | Nancy Farber (PRESIDENT AND CEO) |
| Authorized Official Contact | 5107456500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Outpatient Rehab Center 39141 Civic Center Dr Suite 120 Fremont CA 94538-5818 Ph: (510) 794-9672 | Washington Outpatient Rehab Center 39141 Civic Center Dr Suite 120 Fremont CA 94538-5818 Ph: (510) 794-9672 |
| NPI Number | 1376797886 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 08/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376797886 | NPI | - | NPPES |
| GCT000660 | Medicaid | CA | |
| ZZZ34510Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OT8813 (California) | Primary |
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