Witaya Mathiyakom in Los Angeles - Physical Therapist

Witaya Mathiyakom - NPI 1134285919

Witaya Mathiyakom is a Physical Therapist in Los Angeles, California. Witaya Mathiyakom practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Witaya Mathiyakom is 1134285919. The last update date is 2007-07-08.

Witaya Mathiyakom's current location address is 11301 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 3104783711. The mailing address for Witaya Mathiyakom is 11301 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Witaya Mathiyakom
Address 11301 Wilshire Blvd, Los Angeles, California
Phone Number 3104783711
Fax Number
Sole Proprietor Y
Credentials PHD, PT

NPI Number Detail

NPI Number 1134285919
Provider Enumeration Date 2006-12-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11301 Wilshire Blvd
City Los Angeles
State California (CA)
Post Code 900731003
Phone Number 3104783711
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT 19386
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

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FAQs about Witaya Mathiyakom

What is the Witaya Mathiyakom's 1134285919?

The Witaya Mathiyakom's NPI (National Provider Identifier) Number is 1134285919. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Witaya Mathiyakom is geographically located?

The Witaya Mathiyakom is physically situated at the following location: 11301 Wilshire Blvd, Los Angeles, CA, 900731003.

What is the Witaya Mathiyakom's area of specialization and corresponding taxonomy classification?

The Witaya Mathiyakom's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.

On what date did the Witaya Mathiyakom receive its 1134285919 assignment from the Centers for Medicare & Medicaid Services?

The Witaya Mathiyakom was assigned its 1134285919 by the Centers for Medicare & Medicaid Services on 2006-12-28.

As of what date was the information pertaining to Witaya Mathiyakom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Witaya Mathiyakom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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