Healthcare Provider Details

I. General information

NPI: 1093746752
Provider Name (Legal Business Name): ADVANCE OCCUPATIONAL & HAND THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 BROOKHOLLOW DR STE 37
SANTA ANA CA
92705-5427
US

IV. Provider business mailing address

1520 BROOKHOLLOW DR STE 37
SANTA ANA CA
92705-5427
US

V. Phone/Fax

Practice location:
  • Phone: 714-953-7330
  • Fax: 949-727-2193
Mailing address:
  • Phone: 714-953-7330
  • Fax: 949-727-2193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT38428
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: PARI REZAEI
Title or Position: PRESIDENT
Credential: DPT
Phone: 714-953-7330