MEDICARE: RACHNA LALONDE MPT

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	PT21767	CA

General Provider Information

NPI Number	:	1881814176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHNA LALONDE MPT

Provider Business Mailing Address
First Line	:	2216 NEWPORT BLVD
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627-1711
Country	:	US
Telephone Number	:	949-631-9009
Fax Number	:	949-631-1984

Provider Business Practice Location Address
First Line	:	2216 NEWPORT BLVD
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627
Country	:	US
Telephone Number	:	949-631-9009
Fax Number	:	949-631-1984

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2007
Last Update Date	:	04/26/2017

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Directions to “ RACHNA LALONDE MPT” Practice Location

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