Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Rehab Med Assoc

Organization Pediatric Adolescent Medicine Physician · NPI 1881721108

Pediatric Rehab Med Assoc is a Pediatric Adolescent Medicine Physician in Oakland, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

747 52nd St
Oakland, CA 94609-1809
Phone: (510) 428-3655
Fax: (510) 450-5821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence A38652 (CA)

Record details

NPI number1881721108
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Haining — Head Of Dept · (510) 428-3655
NPI enumeratedFebruary 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3116 W March Ln, Ste 200, Stockton, CA 95219-2369

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