Healthcare Provider Details
I. General information
NPI: 1063639896
Provider Name (Legal Business Name): WESTERN HAND CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8555 FLORENCE AVE
DOWNEY CA
90240-4014
US
IV. Provider business mailing address
660 HAMPSHIRE RD 200
WESTLAKE VILLAGE CA
91361-2504
US
V. Phone/Fax
- Phone: 562-923-9351
- Fax:
- Phone:
- 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:
ANDREE
BUCKLEY
Title or Position: CFO
Credential:
Phone: 805-497-3736