Healthcare Provider Details

I. General information

NPI: 1609785047
Provider Name (Legal Business Name): HANDS ON HANDS REHAB CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 ADAMS AVE STE 103
COSTA MESA CA
92626-4865
US

IV. Provider business mailing address

1700 ADAMS AVE STE 103
COSTA MESA CA
92626-4865
US

V. Phone/Fax

Practice location:
  • Phone: 714-556-2288
  • Fax: 714-435-1745
Mailing address:
  • Phone: 714-556-2288
  • Fax: 714-435-1745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: LUISANA MANZO
Title or Position: OFFICE MANAGER
Credential:
Phone: 714-556-2288