Healthcare Provider Details

I. General information

NPI: 1669613139
Provider Name (Legal Business Name): CAMPUS PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2009
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 SULLIVAN AVE RM 402
DALY CITY CA
94015-2224
US

IV. Provider business mailing address

1800 SULLIVAN AVE RM 402
DALY CITY CA
94015-2224
US

V. Phone/Fax

Practice location:
  • Phone: 650-994-7800
  • Fax: 650-240-1834
Mailing address:
  • Phone: 650-994-7800
  • Fax: 650-240-1834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LUIS E ARANEDA
Title or Position: CEO
Credential: DPT
Phone: 650-994-7800