Healthcare Provider Details

I. General information

NPI: 1053125344
Provider Name (Legal Business Name): PHYSICAL THERAPY NETWORK SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

381 CEDAR AVE
BREA CA
92821-6602
US

IV. Provider business mailing address

700 E BIRCH ST UNIT 216
BREA CA
92822-2011
US

V. Phone/Fax

Practice location:
  • Phone: 929-274-5342
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KHIEM TRAN
Title or Position: PRESIDENT/OWNER
Credential: DPT
Phone: 949-274-5342