Healthcare Provider Details

I. General information

NPI: 1689292799
Provider Name (Legal Business Name): UNITED EFFORT PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2020
Last Update Date: 09/21/2020
Certification Date: 09/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20657 GOLDEN SPRINGS DR STE 113
DIAMOND BAR CA
91789-3898
US

IV. Provider business mailing address

20657 GOLDEN SPRINGS DR STE 113
DIAMOND BAR CA
91789-3898
US

V. Phone/Fax

Practice location:
  • Phone: 909-655-6060
  • Fax: 909-655-6019
Mailing address:
  • Phone: 909-655-6060
  • Fax: 909-655-6019

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: HARRY YECHE CHEN
Title or Position: OWNER
Credential: DPT
Phone: 909-655-6060