Healthcare Provider Details
I. General information
NPI: 1457315889
Provider Name (Legal Business Name): ANDO & ASTON PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/13/2006
Last Update Date: 07/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6200 E CANYON RIM RD #113E
ANAHEIM HILLS CA
92807
US
IV. Provider business mailing address
26500 AGOURA RD STE 201
CALABASAS CA
91302-3556
US
V. Phone/Fax
- Phone: 714-974-0330
- Fax: 714-279-6771
- Phone: 818-880-8605
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVE
SPRINGBORN
Title or Position: PRESIDENT
Credential: PT
Phone: 480-688-5859