MEDICARE: PARI REZAEI DPT

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	PT 38428	CA

General Provider Information

NPI Number	:	1942572631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARI REZAEI DPT

Provider Business Mailing Address
First Line	:	1520 BROOKHOLLOW DR STE 37
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5427
Country	:	US
Telephone Number	:	714-953-7330
Fax Number	:	949-727-2193

Provider Business Practice Location Address
First Line	:	1520 BROOKHOLLOW DR STE 37
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5427
Country	:	US
Telephone Number	:	714-953-7330
Fax Number	:	949-727-2193

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

Provider Enumeration Date	:	01/27/2012
Last Update Date	:	12/04/2025

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Directions to “ PARI REZAEI DPT” Practice Location

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