Altadena Rehab LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

11673 Issued in CA

Legal business name

ALTADENA REHAB LLC

Practice address

2070 Cedar Glen Dr
Corona, CA 92879-7839

Phone

(949) 419-5500

NPI assigned

Jul 8, 2018

Organization subpart

No

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

Authorized official

Name

Dena Tahmaseb Zamanian, OTR/L

Title

Occupational Therapist

Phone

(951) 298-9647

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545436800000",
    "number": "1528554029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 CEDAR GLEN DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797839",
            "telephone_number": "949-419-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 CEDAR GLEN DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797839",
            "telephone_number": "949-419-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTADENA REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-08",
        "last_updated": "2018-12-22",
        "status": "A",
        "authorized_official_last_name": "TAHMASEB ZAMANIAN",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "951-298-9647",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Corona, CA
• Providers in Corona, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2018; 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.