LAGUNA BEACH REHAB INC NPI 1578514832

NPI Information

  • NPI: 1578514832
  • Provider Name: LAGUNA BEACH REHAB INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Other Name: LAGUNA BEACH PHYSICAL THERAPY
  • Address: 31852 S. COAST HIGHWAY
    STE. 303
    LAGUNA BEACH, CA
    ZIP 92651
  • Phone: (949) 499-9559

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NPI Details

LAGUNA BEACH REHAB INC is a clinic center in Laguna Beach, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LAGUNA BEACH REHAB INC NPI is 1578514832. The provider is registered as an organization entity type.
The provider Other Name Is Laguna Beach Physical Therapy.

The provider's business location address is:

31852 S. COAST HIGHWAY
STE. 303
LAGUNA BEACH, CA
ZIP 92651
Phone: (949) 499-9559
Fax: (949) 499-1845

The provider's authorized official is Carol M Fracalosy .
The authorized official title is Owner and has the following contact phone number (949) 499-9559.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center133949CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W19811OTHERCALIFORNIAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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