Southern California Orthopedic & Rehab Specialists
NPI #1447666797 in Costa Mesa, California
Provider Information
- NPI Number
- 1447666797
- Entity Type
- Organization
- Organization Name
- Southern California Orthopedic & Rehab Specialists
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 8, 2014
- Last Updated
- Jul 8, 2014
Practice Location
- Address
- 3420 BRISTOL ST STE 700
- City
- Costa Mesa
- State
- California
- ZIP Code
- 92626-7137
- Phone
- (714) 485-3599
Authorized Official
- Name
- HOMAN MAHALLATI, D.O.
- Title
- MEDICAL DIRECTOR
- Phone
- (714) 485-3599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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