Healthcare Provider Details

I. General information

NPI: 1689514218
Provider Name (Legal Business Name): FLEXA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 FREDA LN
CARDIFF CA
92007-1109
US

IV. Provider business mailing address

1740 FREDA LN
CARDIFF CA
92007-1109
US

V. Phone/Fax

Practice location:
  • Phone: 619-994-4200
  • Fax:
Mailing address:
  • Phone: 619-994-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ROGER MIGNOSA
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 858-722-7776