NPIMap

Organization Active NPI

Olympic Rehabilitation Center, Inc

  • Adult Day Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1801924238
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
OLYMPIC REHABILITATION CENTER, INC
Practice address
624 N la Brea Ave
Los Angeles, CA 90036-2014
Phone
(323) 954-4000
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Mrs. Maya Tsirulsky
Title
A
Phone
(323) 954-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

624 N la Brea Ave
Los Angeles, CA 90036-2014

Mailing address

624 N la Brea Ave
Los Angeles, CA 90036-2014
Phone (323) 954-4000

Other identifiers 3

IdentifierTypeStateIssuer
ADU40708FMedicaidCA
ADU70362FMedicaidCA
ADU70136FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Olympic Rehabilitation Adhc Site II3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

624 N La Brea Ave
Los Angeles, CA 90036
Phone (323) 954-4000

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1801924238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 N LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362014",
            "telephone_number": "323-954-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 N LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362014",
            "telephone_number": "323-954-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "TSIRULSKY",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "A",
        "authorized_official_telephone_number": "323-954-4000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU40708F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70362F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70136F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.