TECH COAST REHAB INC NPI 1063521987

NPI Information

NPI: 1063521987
Provider Name: TECH COAST REHAB INC
Classification: Orthotic Fitter - 225000000X
Entity Type: Organization
Address:
4200 TRABUCO RD
SUITE 165
IRVINE, CA
ZIP 92620
Phone: (949) 654-1369
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TECH COAST REHAB INC is an orthotic fitter in Irvine, CA. The provider is an individual trained in the management of fitting prefabricated orthoses. TECH COAST REHAB INC NPI is 1063521987. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4200 TRABUCO RD
SUITE 165
IRVINE, CA
ZIP 92620-600
Phone: (949) 654-1369
Fax: (949) 654-1383

The provider's authorized official is Barbara Cecile Gaita .
The authorized official title is Owner/therapist and has the following contact phone number (949) 654-1369.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225000000X	Orthotic Fitter		2033	CALIFORNIA	Yes
2	225XE1200X	Occupational Therapist	Ergonomics	2033	CALIFORNIA	X
3	225XH1200X	Occupational Therapist	Hand	2033	CALIFORNIA	X
4	225XN1300X	Occupational Therapist	Neurorehabilitation	2033	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ05623Z	OTHER	CALIFORNIA	BLUE SHIELD GROUP
2	OT0020330	OTHER	CALIFORNIA	BLUE SHIELD PIN
3	5797733	OTHER	CALIFORNIA	AETNA PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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