Basic Information
Provider Information
NPI: 1942499538
EntityType: 2
ReplacementNPI:  
OrganizationName: INTEGRATED NURSING AND REHAB CARE OF POMONA INC
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Mailing Information
Address1: 1550 N PARK AVE
Address2:  
City: POMONA
State: CA
PostalCode: 917681834
CountryCode: US
TelephoneNumber: 6267366373
FaxNumber: 6263328835
Practice Location
Address1: 1550 N PARK AVE
Address2:  
City: POMONA
State: CA
PostalCode: 917681834
CountryCode: US
TelephoneNumber: 6267366373
FaxNumber: 6263328835
Other Information
ProviderEnumerationDate: 10/18/2007
LastUpdateDate: 12/03/2007
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: NIRANAJAN
AuthorizedOfficialFirstName: DILIP
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AuthorizedOfficialTitleorPosition: IT CONSULTANT
AuthorizedOfficialTelephone: 6267366373
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
314000000X  Y Nursing & Custodial Care FacilitiesSkilled Nursing Facility 

No ID Information.


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