Organization · Type 2 NPI

County of Orange

Physical Therapy Clinic/Center · Costa Mesa, CA

NPI number 1629115381 Active

Practice location

425 E 18th St
Costa Mesa, CA 92627-3161

Call (949) 936-8600 Map

Mailing address

405 W 5th St Ste 212
Santa Ana, CA 92701-4522

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Clinic/Center Primary	261QP2000X	None listed
Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	None listed

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

3 other providers at this address

Other physical therapy clinic/center providers in Costa Mesa

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NPI record

NPI: 1629115381
Entity type: Organization (Type 2)
Issued: Jan 31, 2007
Last updated: Dec 20, 2019
Status: Active
Subpart: Yes of County of Orange

Other names

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Hca-Phs-Ccs-Mtu-Cm · doing business as
Hca-Phs-Ccs-Mtu-Cm · doing business as

Authorized official

Dr. Chi Y Rajalingam, PhD, CHC
Chief Compliance Officer
(714) 834-3154

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629115381

County of Orange's National Provider Identifier is 1629115381, issued on Jan 31, 2007. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Costa Mesa, CA. The record was last updated on Dec 20, 2019.