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NPI Code Detail

MEDICARE: EDWARD O HAUSCHKA

MEDICARE: EDWARD O HAUSCHKA
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
1225100000XPhysical TherapistPT17906CA

General Provider Information

NPI Number : 1679624795
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD O HAUSCHKA
Provider Business Mailing Address
First Line : PO BOX 7840
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92607-7840
Country : US
Telephone Number : 949-443-5442
Fax Number : 949-443-5463
Provider Business Practice Location Address
First Line : 31271 NIGUEL RD STE J
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-4135
Country : US
Telephone Number : 949-443-5442
Fax Number : 949-443-5463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 04/14/2026

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Directions to “ EDWARD O HAUSCHKA ” Practice Location

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