Organization
CALIFORNIA REHABILITATION & SPORTS THERAPY A CALIFORNIA PHYSICAL THER
Active
Other names
California Rehab and Sports Therapy, California Rehabilitation & Sports Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PACE (COO)
(213) 804-1712
Entity
Organization
Contact information
Practice address
36 MAUCHLY, STE A, IRVINE, CA 92618-2393
(949) 727-3315
(949) 727-3624
Mailing address
2600 DALLAS PKWY STE 290, FRISCO, TX 75034-7493
(945) 050-0010
(949) 644-0316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 23314
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2211132
FIRST HEALTH
CA
01
—
ZZZ04795ZPT
BLUE SHIELD
CA
Enumeration date
05/17/2006
Last updated
02/12/2024
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