Costa Rehab And Wellness Clinic

Specialty details in registry · Lake Forest, CA

Call (949) 716-5050 Directions

At a glance

22821 Lake Forest Dr, Lake Forest, CA 92630-1606

NPPES record updated Apr 14, 2016. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

22821 Lake Forest Dr Suite 115
Lake Forest, CA 92630-1606
Professional details: NPI, taxonomy & registry record
NPI1730588575
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
2251X0800X
Enumeration date
Aug 18, 2014
Record updated
Apr 14, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Physical Therapist

225100000X

License reported: PT37671 CA

Specialty details in registry

2251C2600X

License reported: PT37671 CA

Specialty details in registry

2251E1200X

License reported: PT37671 CA

Specialty details in registry

2251G0304X

License reported: PT37671 CA

Specialty details in registry

2251H1200X

License reported: PT37671 CA

Specialty details in registry

2251N0400X

License reported: PT37671 CA

Specialty details in registry

2251P0200X

License reported: PT37671 CA

Specialty details in registry

2251S0007X

License reported: PT37671 CA

Specialty details in registry

2251X0800X · Primary

License reported: PT37671 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

22821 Lake Forest Dr
Suite 115
Lake Forest, CA 92630-1606
Phone
(949) 716-5050
Fax
(949) 482-2122
Mailing address
22821 LAKE FOREST DR
SUITE 115
LAKE FOREST, CA 926301606
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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