=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124995980
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REHABILITATION CARE COORDINATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/17/2025
-----------------------------------------------------
Last Update Date | 10/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7851 MISSION CENTER CT STE 103
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92108-1326
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-299-9922
-----------------------------------------------------
Fax | 619-299-9932
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7851 MISSION CENTER CT STE 103
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92108-1326
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-299-9922
-----------------------------------------------------
Fax | 619-299-9932
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF OPERATING OFFICER
-----------------------------------------------------
Name | MR. LOREN SETH CASUTO
-----------------------------------------------------
Credential | ESQ
-----------------------------------------------------
Telephone | 619-299-9922
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163WC0400X
-----------------------------------------------------
Taxonomy Name | Case Management Registered Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------