Dynamic Recuperative Healthcare Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DYNAMIC RECUPERATIVE HEALTHCARE SERVICES

Practice address

17890 Castleton St Ste 309
City of Industry, CA 91748-6789

Phone

(626) 655-1214

NPI assigned

Oct 9, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lynnette Jenkins

Title

Chief Administrative Officer

Phone

(626) 655-1214

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1184443715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17890 CASTLETON ST STE 309",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917486789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17890 CASTLETON ST STE 309",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917486789",
            "telephone_number": "626-655-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC RECUPERATIVE HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "626-655-1214",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Esbeidi Echevarria
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• Community/Behavioral Health Agency in City of Industry, CA
• Providers in City of Industry, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.