Provider Demographics
NPI:1083729487
Name:ORANGE COAST MEDICAL & REHAB, INC.
Entity Type:Organization
Organization Name:ORANGE COAST MEDICAL & REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZIAD
Authorized Official - Middle Name:LUTFI
Authorized Official - Last Name:KHARUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-903-0102
Mailing Address - Street 1:14560 MAGNOLIA ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4791
Mailing Address - Country:US
Mailing Address - Phone:714-903-0102
Mailing Address - Fax:714-903-0142
Practice Address - Street 1:14560 MAGNOLIA ST
Practice Address - Street 2:SUITE 104
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4791
Practice Address - Country:US
Practice Address - Phone:714-903-0102
Practice Address - Fax:714-903-0142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty