Provider Demographics
NPI:1851445266
Name:DESIGNER HEALTH & REHAB MEDICAL CORP
Entity Type:Organization
Organization Name:DESIGNER HEALTH & REHAB MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:SOLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:949-433-5000
Mailing Address - Street 1:17777 MAIN ST
Mailing Address - Street 2:SUITE D BUILDING 60
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-4795
Mailing Address - Country:US
Mailing Address - Phone:949-433-5000
Mailing Address - Fax:949-660-1512
Practice Address - Street 1:17777 MAIN ST
Practice Address - Street 2:SUITE D BUILDING 60
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-4795
Practice Address - Country:US
Practice Address - Phone:949-433-5000
Practice Address - Fax:949-660-1512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty