Healthcare Provider Details

I. General information

NPI: 1649497991
Provider Name (Legal Business Name): CALIFORNIA PHYSICAL THERAPY PROVIDERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32222 CAMINO CAPISTRANO SUITE B
SAN JUAN CAPISTRANO CA
92675-3715
US

IV. Provider business mailing address

32222 CAMINO CAPISTRANO SUITE B
SAN JUAN CAPISTRANO CA
92675-3715
US

V. Phone/Fax

Practice location:
  • Phone: 949-487-7470
  • Fax: 949-248-9903
Mailing address:
  • Phone: 949-487-7470
  • Fax: 949-248-9903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. DEBRA REDLINGER
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 949-487-7470