1023569795 NPI number — SOUTHLAND PHYSICAL THERAPY MISSION VIEJO CLINIC, PC

Table of content: (NPI 1023569795)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023569795 NPI number — SOUTHLAND PHYSICAL THERAPY MISSION VIEJO CLINIC, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHLAND PHYSICAL THERAPY MISSION VIEJO CLINIC, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023569795
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/18/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25565 JERONIMO RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MISSION VIEJO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92691-2707
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-627-8800
Provider Business Mailing Address Fax Number:
949-627-8801

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25565 JERONIMO RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MISSION VIEJO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92691-2707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-627-8800
Provider Business Practice Location Address Fax Number:
949-627-8801
Provider Enumeration Date:
10/18/2016

Additional Information

Authorized Official

Authorized Official Last Name:
MEAD
Authorized Official First Name:
SHAWN
Authorized Official Middle Name:
JEFFREY
Authorized Official Title or Position:
CLINICAL MANAGER
Authorized Official Telephone Number:
949-627-8800

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  40531 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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