Socal Rehab Alliance LLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

SOCAL REHAB ALLIANCE LLC

Practice address

17272 Newhope St
#G
Fountain Valley, CA 92708

Phone

(949) 322-7307

Fax

(714) 434-7042

NPI assigned

Apr 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John R Horsley, PT

Title

Owner

Phone

(714) 754-7268

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1184187601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8125",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927288125",
            "telephone_number": "949-322-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17272 NEWHOPE ST",
            "address_2": "#G",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "949-322-7307",
            "fax_number": "714-434-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL REHAB ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "HORSLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-754-7268",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anesha Smith
• Carlee Drew Smith
• Quynh-Uyen Nguyen Smith, MD
• Anne M Smura
• Susan M Sobczak-Hoeft, D.O.
• Preeti Sodhi
• Catalina Janette Soleil, CMT
• Stephanie Solis Ambriz
• Ashley Aaliyah Solis Rodriguez
• Adam Solomon, MD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.