South Pacific Rehab Services

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTH PACIFIC REHAB SERVICES

Practice address

4940 Van Nuys Blvd
301
Sherman Oaks, CA 91403-1700

Phone

(818) 990-5050

Fax

(818) 990-9449

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Cohen

Title

Owner

Phone

(818) 986-1977

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1538445119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "address_2": "600",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "818-986-1977",
            "fax_number": "818-986-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD",
            "address_2": "301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031700",
            "telephone_number": "818-990-5050",
            "fax_number": "818-990-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PACIFIC REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-986-1977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Behzad Souferzadeh, D.O.
• Soul2Soul Recovery Center LLC
• Heidi Soussan, MS, OTR/L
• Jennifer Nester Soussan, LMFT
• South Pacific Physical Therapy Inc
• Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins (Babak Eghbalieh, M.D.)
• Southern California Multi-Specialty Center Inc
• Southland Psychology Inc
• Spark to Recovery Inc (Concise Detox Center)
• Katie Spasic

• Specialist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.