Organization
C AND A HEALTH SERVICES
Active
Other names
physical therapy services
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO AVI MARCIANO (PRESIDENT)
(949) 770-6022
Entity
Organization
Contact information
Practice address
515 N. CARBRILLO DRIVE, #100, SANTA ANA, CA 92701
(714) 571-0141
(714) 543-4787
Mailing address
24 HAMMOND, UNIT C, IRVINE, CA 92618
(949) 770-6022
(949) 770-7084
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
W17853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W17853
MEDICARE GROUP NUMBER
CA
Enumeration date
04/18/2007
Last updated
10/27/2007
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