Southern California Orthopedic & Rehab Specialists

Primary specialty

SpecialistTaxonomy code 174400000X

License

20A9964 Issued in CA

Legal business name

SOUTHERN CALIFORNIA ORTHOPEDIC & REHAB SPECIALISTS

Practice address

3420 Bristol St Ste 700
Costa Mesa, CA 92626-7137

Phone

(714) 485-3599

Fax

(714) 485-3544

NPI assigned

Jul 8, 2014

Last updated

Jul 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Homan Mahallati, D.O.

Title

Medical Director

Phone

(714) 485-3599

Specialties & licenses 1

Addresses

Tax ID family

Healthcheck Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Surgical Outpatient Solutions, Inc.

  dba HealthCheck Corporation

  • Specialist
  • Huntington Beach, CA
  • NPI 1982807004
  NPD tax ID

Locations

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1447666797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 BRISTOL ST STE 700",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267137",
            "telephone_number": "714-485-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 BRISTOL ST STE 700",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267137",
            "telephone_number": "714-485-3599",
            "fax_number": "714-485-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA ORTHOPEDIC & REHAB SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "MAHALLATI",
        "authorized_official_first_name": "HOMAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-485-3599",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A9964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Coast Traverse
• South Coast Wellness Inc
• South West Health Chiropractic Center Inc
• South West Health Radiology, Inc.
• Southern California Alcohol & Drug Programs, Inc. (Heritage House)
• Southern California Portable X-Ray &Ekg
• Southwest Science Labs LLC
• Diamonique Sparks
• Jennifer Michelle Sparks
• Jordyn Eileen Sparks

• Specialist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.