MEDICARE: LA PAZ SPINE AND REHAB INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	225100000X	Physical Therapist
3	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1184984387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LA PAZ SPINE AND REHAB INC

Provider Business Mailing Address
First Line	:	25200 LA PAZ RD STE 102
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5134
Country	:	US
Telephone Number	:	949-770-8767
Fax Number	:

Provider Business Practice Location Address
First Line	:	25200 LA PAZ RD STE 102
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5134
Country	:	US
Telephone Number	:	949-770-8767
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOSEPH PREZIOSI
Credential	:	DC
Telephone Number	:	949-770-8767

Provider Enumeration Date	:	05/22/2012
Last Update Date	:	10/24/2013

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Directions to “LA PAZ SPINE AND REHAB INC ” Practice Location

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