MEDICARE: IRVINE REHABILITATION HOSPITAL LLC

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
1	283X00000X	Rehabilitation Hospital

General Provider Information

NPI Number	:	1528955655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IRVINE REHABILITATION HOSPITAL LLC

Provider Business Mailing Address
First Line	:	2200 MORSE AVE
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92614-6217
Country	:	US
Telephone Number	:	949-228-5007
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 MORSE AVE
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92614-6217
Country	:	US
Telephone Number	:	949-228-5007
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	JULIE MYERS
Credential	:
Telephone Number	:	949-228-5007

Provider Enumeration Date	:	06/20/2025
Last Update Date	:	03/14/2026

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