CORONA DEL MAR REHAB, INC
NPI 1164466785
Clinic/Center in Newport Beach, CA

Active since June 15, 2006
1441 AVOCADO AVE STE 307, NEWPORT BEACH, CA 92660(949) 640-2121(949) 640-2631 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2022, Jan 15, 2020 (2 updates tracked since 2020).

About Corona Del Mar Rehab, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORONA DEL MAR REHAB, INC (NPI 1164466785) is a healthcare organization registered as a clinic/center in Newport Beach, California and active in the NPI registry since June 2006. The organization lists Brian R Fracalosy, H.r. Manager, as its authorized official.

NPPES Registry Identity

NPI1164466785
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLAGUNA BEACH REHAB, INC.
Location Address1441 AVOCADO AVE STE 307Newport Beach, CA 92660-7704
Mailing Address1441 Avocado Ave Ste 307Newport Beach, CA 92660-7704 · (949) 640-2121 · Fax (949) 640-2631
Fax(949) 640-2631
Organization SubpartNo
Authorized OfficialBrian R FracalosyH.r. Manager · (949) 640-2121
Enumeration DateJune 15, 2006
Last NPPES UpdateOctober 7, 20222 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
NPI 1164466785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in CA · BT00015281
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
1441 AVOCADO AVE STE 307, Newport Beach, CA 92660

Other Names 2

Doing Business AsCorona Del Mar Rehab, Inc
Doing Business AsCorona Del Mar Rehab, Inc.

Other Identifiers 1

OtherW19811CA · Medicare, Ptan

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laguna Beach Rehab, Inc.'s NPI number?

The NPI number for Laguna Beach Rehab, Inc. is 1164466785. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Corona Del Mar Rehab, Inc and Corona del Mar Rehab, Inc..

Where is Laguna Beach Rehab, Inc. located?

Laguna Beach Rehab, Inc. is located at 1441 Avocado Ave Ste 307, Newport Beach, CA 92660. The listed phone number is (949) 640-2121.

What is Laguna Beach Rehab, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Laguna Beach Rehab, Inc. was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.