Organization
SOCAL REHAB ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R HORSLEY PT (OWNER)
(714) 754-7268
Entity
Organization
Contact information
Practice address
17272 NEWHOPE ST, #G, FOUNTAIN VALLEY, CA 92708
(949) 322-7307
(714) 434-7042
Mailing address
P.O. BOX 8125, FOUNTAIN VALLEY, CA 92728-8125
(949) 322-7307
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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