San Pedro Physical Therapy in San Pedro - Specialist
San Pedro Physical Therapy - NPI 1700032455
San Pedro Physical Therapy is a Specialist in San Pedro, California. San Pedro Physical Therapy practices all healthcare services and medical treatments related to Specialist. The NPI Number for San Pedro Physical Therapy is 1700032455. The last update date is 2011-03-22.
San Pedro Physical Therapy's current location address is 1366 W 7th St, San Pedro, California. You can contact this provider via phone number 3105473331. The mailing address for San Pedro Physical Therapy is 1366 W 7th St, San Pedro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Pedro Physical Therapy |
|---|---|
| Address | 1366 W 7th St, San Pedro, California |
| Phone Number | 3105473331 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SUPERVISOR |
|---|---|
| Authorized Official Name | Perez Mark |
| Credentials | MD |
| Telephone Number | 3105472197 |
NPI Number Detail
| NPI Number | 1700032455 |
|---|---|
| Provider Enumeration Date | 2008-08-13 |
| Last Updated Date | 2011-03-22 |
Provider Mailing Address Detail
| Address | 1366 W 7th St |
|---|---|
| City | San Pedro |
| State | California (CA) |
| Post Code | 907323500 |
| Phone Number | 3105473331 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 17929 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17929 | CA | PHYSICAL THERAPY | |
| 2838 | CA | PHYSICAL THERAPY | |
| G67514 | CA | MEDICAL BOARD |
Post Comment/ Review Below
What is the unique identifier code issued to San Pedro Physical Therapy by the Centers for Medicare & Medicaid Services (CMS)?
The San Pedro Physical Therapy has been assigned the NPI (National Provider Identifier) 1700032455. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of San Pedro Physical Therapy?
The San Pedro Physical Therapy is physically situated at 1366 W 7Th St, in the city of San Pedro, state of CA, with the postal code 907323500.
What is San Pedro Physical Therapy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for San Pedro Physical Therapy is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the San Pedro Physical Therapy receive the assignment of its 1700032455 from the Centers for Medicare & Medicaid Services?
The San Pedro Physical Therapy was issued its 1700032455 by the Centers for Medicare & Medicaid Services on 2008-08-13.
When was the information regarding San Pedro Physical Therapy most recently updated?
The details pertaining to the San Pedro Physical Therapy, including its address, specialty, and other relevant information, were last refreshed on 2011-03-22.
NPI Number: 1942206313
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