Healthcare Provider Details
I. General information
NPI: 1144018862
Provider Name (Legal Business Name): MOVO PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
407 S SPALDING DR APT 9
BEVERLY HILLS CA
90212-4162
US
IV. Provider business mailing address
407 S SPALDING DR APT 9
BEVERLY HILLS CA
90212-4162
US
V. Phone/Fax
- Phone: 310-595-6686
- Fax:
- Phone: 310-595-6686
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEVIN
SOLEIMANI
Title or Position: PHYSICAL THERAPIST/FOUNDER
Credential: PT, DPT
Phone: 310-595-6686