Healthcare Provider Details

I. General information

NPI: 1831033349
Provider Name (Legal Business Name): CHRISTOPHER LEDESMA HUTCHINSON DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9827 WALKER ST
CYPRESS CA
90630-3826
US

IV. Provider business mailing address

1512 CONCORD AVE
FULLERTON CA
92831-2121
US

V. Phone/Fax

Practice location:
  • Phone: 714-220-9001
  • Fax:
Mailing address:
  • Phone: 714-732-3573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number309976
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: