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NPI Code Detail

MEDICARE: WEST COAST REHAB CENTER MEDICAL CORPORATION

MEDICARE: WEST COAST REHAB CENTER MEDICAL CORPORATION
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
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1164162384
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST COAST REHAB CENTER MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 18351 BEACH BLVD
Second Line : STE. F
City : HUNTINGTON BEACH
State : CA
Zip : 92648-1374
Country : US
Telephone Number : 714-847-0010
Fax Number : 714-847-0017
Provider Business Practice Location Address
First Line : 18351 BEACH BLVD
Second Line : STE. F
City : HUNTINGTON BEACH
State : CA
Zip : 92648-1374
Country : US
Telephone Number : 714-847-0010
Fax Number : 714-847-0017
Authorized Official
Title or Position : MANAGER
Name : MR. MICHAEL MENARD
Credential :
Telephone Number : 714-847-0010
Provider Enumeration Date : 03/29/2022
Last Update Date : 03/29/2022

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Directions to “WEST COAST REHAB CENTER MEDICAL CORPORATION ” Practice Location

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