Provider Demographics
NPI:1851636625
Name:ALLIANCE REHAB INC
Entity type:Organization
Organization Name:ALLIANCE REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:714-968-8700
Mailing Address - Street 1:9555 WARNER AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-2827
Mailing Address - Country:US
Mailing Address - Phone:714-968-8700
Mailing Address - Fax:714-968-8804
Practice Address - Street 1:9555 WARNER AVE
Practice Address - Street 2:SUITE A
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-2827
Practice Address - Country:US
Practice Address - Phone:714-968-8700
Practice Address - Fax:714-968-8804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT26455261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy