MEDICARE: TERAPIA COMO NUEVA 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1639339294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERAPIA COMO NUEVA INC

Provider Business Mailing Address
First Line	:	506 S ALVARADO ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-2904
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	506 S ALVARADO ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-2904
Country	:	US
Telephone Number	:	213-483-3987
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WOO S KIM
Credential	:
Telephone Number	:	213-483-3987

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	06/20/2008

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Directions to “TERAPIA COMO NUEVA INC ” Practice Location

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