Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laguna Beach Rehab, Inc

Organization Clinic/Center · NPI 1164466785

Laguna Beach Rehab, Inc is a Clinic/Center in Newport Beach, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1441 Avocado Ave Ste 307
Newport Beach, CA 92660-7704
Phone: (949) 640-2121
Fax: (949) 640-2631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence BT00015281 (CA)
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1164466785
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Fracalosy — H.R. Manager · (949) 640-2121
Other names Corona Del Mar Rehab, Inc; Corona Del Mar Rehab, Inc.
NPI enumeratedJune 15, 2006
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022
Mailing address1441 Avocado Ave Ste 307, Newport Beach, CA 92660-7704

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