Gateway Rehab & Wellness Center, Inc. | |
24002 Via Fabricante, Suite 501, Mission Viejo, CA 92691-3901 | |
(949) 454-8811 | |
(949) 454-8833 |
Full Name | Gateway Rehab & Wellness Center, Inc. |
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Type | Facility |
Speciality | Specialist |
Location | 24002 Via Fabricante, Mission Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184746927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC-28755 (California) | Secondary |
111N00000X | Chiropractor | DC-28726 (California) | Secondary |
174400000X | Specialist | G060299 (California) | Primary |
Provider Name | John W Schlingman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720141211 PECOS PAC ID: 5597711747 Enrollment ID: I20050330000875 |
Provider Name | William R Carr |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1609092501 PECOS PAC ID: 1557375672 Enrollment ID: I20060127000541 |
Provider Name | Vinod Malhotra |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1366500514 PECOS PAC ID: 9335225176 Enrollment ID: I20080319000611 |
Provider Name | Fortunato D. Azoulay |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053560276 PECOS PAC ID: 9133260722 Enrollment ID: I20100105000102 |
Provider Name | Victor R Rafa |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1952423618 PECOS PAC ID: 5698802064 Enrollment ID: I20100723000752 |
Provider Name | Rona P Palompo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548406457 PECOS PAC ID: 4789716291 Enrollment ID: I20100913000019 |
Provider Name | Jason B Stoddard |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1104219690 PECOS PAC ID: 1254693666 Enrollment ID: I20180323001066 |
Provider Name | Sogol Fatehi |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649922907 PECOS PAC ID: 5193110732 Enrollment ID: I20220318000492 |
Provider Name | Cindy Christina Faraguna |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437892593 PECOS PAC ID: 8820485113 Enrollment ID: I20220523000721 |
Provider Name | Lina Khanukayev |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578283735 PECOS PAC ID: 7618352295 Enrollment ID: I20220919000151 |
Mailing Address | Practice Location Address |
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Gateway Rehab & Wellness Center, Inc. 24002 Via Fabricante, Suite 501, Mission Viejo, CA 92691-3901 Ph: (949) 454-8811 | Gateway Rehab & Wellness Center, Inc. 24002 Via Fabricante, Suite 501, Mission Viejo, CA 92691-3901 Ph: (949) 454-8811 |