Organization Name: | COUNTY OF ORANGE |
NPI Number: | 1073650727 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THEA L BULLOCK (CHIEF COMPLIANCE OFFICER) |
Mailing Address: | 24242 La Cresta Dr Dana Point |
State: | CA US |
Postal Code: | 926292561 |
Phone Number: | 9492345595 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 12/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Taxonomy Definition: |