MEDICARE: ALLIANCE REHAB INC

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	261QP2000X	Physical Therapy Clinic/Center	PT26455	CA

General Provider Information

NPI Number	:	1851636625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE REHAB INC

Provider Business Mailing Address
First Line	:	9555 WARNER AVE
Second Line	:	SUITE A
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-2827
Country	:	US
Telephone Number	:	714-968-8700
Fax Number	:	714-968-8804

Provider Business Practice Location Address
First Line	:	9555 WARNER AVE
Second Line	:	SUITE A
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-2827
Country	:	US
Telephone Number	:	714-968-8700
Fax Number	:	714-968-8804

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. HUNG NGO
Credential	:	DPT
Telephone Number	:	714-968-8700

Provider Enumeration Date	:	12/06/2012
Last Update Date	:	04/30/2015

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