MEDICARE: ADVANCE OCCUPATIONAL & HAND THERAPY CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist	PT38428	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	OT0012510	OTHER	CA	BLUE SHIELD
3	ZZZ64792Z	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1093746752
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCE OCCUPATIONAL & HAND THERAPY CENTER

Provider Business Mailing Address
First Line	:	1520 BROOKHOLLOW DR STE 37
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5427
Country	:	US
Telephone Number	:	714-953-7330
Fax Number	:	949-727-2193

Provider Business Practice Location Address
First Line	:	1520 BROOKHOLLOW DR STE 37
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5427
Country	:	US
Telephone Number	:	714-953-7330
Fax Number	:	949-727-2193

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PARI REZAEI
Credential	:	DPT
Telephone Number	:	714-953-7330

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	12/05/2025

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Directions to “ADVANCE OCCUPATIONAL & HAND THERAPY CENTER ” Practice Location

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