Provider Demographics
NPI:1912072133
Name:LLOYD COTTON ENTERPRISES, INC.
Entity Type:Organization
Organization Name:LLOYD COTTON ENTERPRISES, INC.
Other - Org Name:ORANGE COUNTY REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:COTTON
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:714-526-3248
Mailing Address - Street 1:6326 E SANTA ANA CANYON RD
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-2365
Mailing Address - Country:US
Mailing Address - Phone:714-526-3248
Mailing Address - Fax:714-526-3240
Practice Address - Street 1:6326 E SANTA ANA CANYON RD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-2365
Practice Address - Country:US
Practice Address - Phone:714-526-3248
Practice Address - Fax:714-526-3240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QP2000X261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy