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OAC SOUTHERN MEDICAL PROFESSIONAL CORPORATION NPI 1164777090


NPI Information

NPI: 1164777090
Provider Name: OAC SOUTHERN MEDICAL PROFESSIONAL CORPORATION
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
3300 W COAST HWY
SUITE A
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 209-0220
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OAC SOUTHERN MEDICAL PROFESSIONAL CORPORATION is a sports medicine physical medicine rehabilitation in Newport Beach, CA. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. OAC SOUTHERN MEDICAL PROFESSIONAL CORPORATION NPI is 1164777090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3300 W COAST HWY
SUITE A
NEWPORT BEACH, CA
ZIP 92663-007
Phone: (949) 209-0220
Fax: (949) 270-5139

The provider's authorized official is Maryam Rahimi .
The authorized official title is President and has the following contact phone number (310) 634-1146.

The enumeration date for this NPI number is 7/17/2012 and was last updated on 7/17/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081S0010XPhysical Medicine & RehabilitationSports Medicine20A10143CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16602160002MEDICARE NSCCALIFORNIA

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

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