Healthcare Provider Details

I. General information

NPI: 1831135847
Provider Name (Legal Business Name): C&A HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23961 CALLE DE LA MAGDALENA SUITE 440
LAGUNA HILLS CA
92653-3616
US

IV. Provider business mailing address

24 HAMMOND SUITE C
IRVINE CA
92618-1680
US

V. Phone/Fax

Practice location:
  • Phone: 949-595-8635
  • Fax: 949-595-8639
Mailing address:
  • Phone: 949-770-6022
  • Fax: 949-770-7084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALBERTO MARCIANO
Title or Position: PRESIDENT
Credential:
Phone: 949-770-6022