Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SPORTS CONDITIONING AND REHABILITATION OF CALIFORNIA INC
Active
Organization
SPORTS CONDITIONING AND REHABILITATION OF CALIFORNIA INC
Active
Other names
STAR CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY ISMAIL (PRESIDENT)
(209) 353-1988
Entity
Organization
Contact information
Practice address
871 S TUSTIN ST, ORANGE, CA 92866-3426
(714) 633-7227
(714) 633-9062
Mailing address
871 S TUSTIN ST, ORANGE, CA 92866-3426
(714) 633-7227
(714) 633-9062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT0175090
—
CA
Enumeration date
03/06/2007
Last updated
12/06/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up