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NPI Code Detail

MEDICARE: COUNTY OF ORANGE

MEDICARE: COUNTY OF ORANGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0401XComprehensive Outpatient Rehabilitation Facility (CORF)
2261QP2000XPhysical Therapy Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073650727
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF ORANGE
Provider Business Mailing Address
First Line : 405 W 5TH ST STE 212
Second Line :
City : SANTA ANA
State : CA
Zip : 92701-4522
Country : US
Telephone Number : 714-568-5614
Fax Number : 714-834-6595
Provider Business Practice Location Address
First Line : 24242 LA CRESTA DR
Second Line :
City : DANA POINT
State : CA
Zip : 92629-2561
Country : US
Telephone Number : 949-234-5595
Fax Number :
Authorized Official
Title or Position : CHIEF COMPLIANCE OFFICER
Name : DR. CHI Y RAJALINGAM
Credential : PH.D., CHC
Telephone Number : 714-834-3154
Provider Enumeration Date : 01/31/2007
Last Update Date : 12/20/2019

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Directions to “COUNTY OF ORANGE ” Practice Location

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