Healthcare Provider Details

I. General information

NPI: 1487590469
Provider Name (Legal Business Name): WELLARA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25255 CABOT RD STE 101
LAGUNA HILLS CA
92653-5507
US

IV. Provider business mailing address

25255 CABOT RD STE 101
LAGUNA HILLS CA
92653-5507
US

V. Phone/Fax

Practice location:
  • Phone: 949-746-0074
  • Fax:
Mailing address:
  • Phone: 949-746-0074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. REBECCA G RABAJA
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 206-719-1153