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CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER NPI 1922604313


NPI Information

NPI: 1922604313
Provider Name: CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER

Former Legal Business Name: CALIFORNIA REHAB AND SPORTS THERAPY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1640 NEWPORT BLVD STE 260
COSTA MESA, CA
ZIP 92627
Phone: (949) 335-7967
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CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER is a multi-specialty clinic center in Costa Mesa, CA. CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER NPI is 1922604313. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is California Rehab And Sports Therapy.

The provider's business location address is:

1640 NEWPORT BLVD STE 260
COSTA MESA, CA
ZIP 92627-736
Phone: (949) 335-7967
Fax: (714) 248-0925

The provider's authorized official is Robert Pace .
The authorized official title is Owner and has the following contact phone number (213) 804-1712.

The enumeration date for this NPI number is 12/10/2020 and was last updated on 2/12/2024.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 5/5/2024

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