Healthcare Provider Details

I. General information

NPI: 1538283155
Provider Name (Legal Business Name): C AND A HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

24 HAMMOND STE 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 TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberW17853
License Number StateCA

VIII. Authorized Official

Name: PATRICIA T. RUGGLES
Title or Position: COLLECTION MANAGER
Credential:
Phone: 949-770-6022