MEDICARE: CAVU HEALTHCARE SYSTEMS

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1598207052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAVU HEALTHCARE SYSTEMS

Provider Business Mailing Address
First Line	:	PO BOX 5248
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92863-5248
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1224 E KATELLA AVE
Second Line	:	SUITE 206
City	:	ORANGE
State	:	CA
Zip	:	92867-5045
Country	:	US
Telephone Number	:	714-334-9998
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TIEN V TRAN
Credential	:
Telephone Number	:	714-334-9998

Provider Enumeration Date	:	11/14/2016
Last Update Date	:	11/14/2016

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Directions to “CAVU HEALTHCARE SYSTEMS ” Practice Location

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