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
Fax: (949) 640-2631
Website:
Authorized official contact:
Name: Fracalosy, Brian R

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164466785 NPPES
California Other W19811 MEDICARE, PTAN

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