Corona Del Mar Rehab, Inc
LBN: Laguna Beach Rehab, Inc.
Corona Del Mar Rehab, Inc is an health care organization with primary practice located at 1441 Avocado Ave Ste 307 , Newport Beach CA 92660-7704. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Laguna Beach Rehab, Inc. can be contacted via phone (949) 640-2121, or through Fracalosy, Brian R via phone (949) 640-2121.
Contact Information
Primary practice address
1441 Avocado Ave Ste 307
Newport Beach CA 92660-7704
Phone: (949) 640-2121
Fax: (949) 640-2631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | BT00015281 | California |
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X |
Profile Details
| NPI number | 1164466785 |
|---|---|
| LBN Legal business name | Laguna Beach Rehab, Inc. |
| DBA Doing business as | Corona Del Mar Rehab, Inc |
| Authorized official | Fracalosy, Brian R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Oct 7th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164466785 | NPPES |
| California | Other | W19811 | MEDICARE, PTAN |
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