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SOUTHERN CALIFORNIA ORTHOPEDIC & REHAB SPECIALISTS NPI 1447666797


NPI Information

NPI: 1447666797
Provider Name: SOUTHERN CALIFORNIA ORTHOPEDIC & REHAB SPECIALISTS
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3420 BRISTOL ST STE 700
COSTA MESA, CA
ZIP 92626
Phone: (714) 485-3599
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SOUTHERN CALIFORNIA ORTHOPEDIC & REHAB SPECIALISTS is a specialist in Costa Mesa, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHERN CALIFORNIA ORTHOPEDIC & REHAB SPECIALISTS NPI is 1447666797. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3420 BRISTOL ST STE 700
COSTA MESA, CA
ZIP 92626-137
Phone: (714) 485-3599
Fax: (714) 485-3544

The provider's authorized official is Homan Mahallati .
The authorized official title is Medical Director and has the following contact phone number (714) 485-3599.

The enumeration date for this NPI number is 7/8/2014 and was last updated on 7/8/2014.


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
1174400000XSpecialist20A9964CALIFORNIAYes

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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