MEDICARE: HIGH FIVE HAND THERAPY AND REHABILITATION INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center	10983	CA

General Provider Information

NPI Number	:	1063967636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGH FIVE HAND THERAPY AND REHABILITATION INC.

Provider Business Mailing Address
First Line	:	9828 GARDEN GROVE BLVD STE 110
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92844-1655
Country	:	US
Telephone Number	:	213-905-0449
Fax Number	:

Provider Business Practice Location Address
First Line	:	9828 GARDEN GROVE BLVD STE 110
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92844-1655
Country	:	US
Telephone Number	:	213-905-0449
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST/OWNER
Name	:	DANNY KANG
Credential	:	OTR/L, CHT
Telephone Number	:	213-905-0449

Provider Enumeration Date	:	08/24/2016
Last Update Date	:	08/24/2016

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