Healthcare Provider Details

I. General information

NPI: 1508807942
Provider Name (Legal Business Name): JOSEPH S LUK PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 06/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 ARDEN AVE STE 370
GLENDALE CA
91203-1146
US

IV. Provider business mailing address

435 ARDEN AVE STE 370
GLENDALE CA
91203-1146
US

V. Phone/Fax

Practice location:
  • Phone: 818-240-5012
  • Fax: 818-240-8438
Mailing address:
  • Phone: 818-240-5012
  • Fax: 818-240-8438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT6698
License Number StateCA

VIII. Authorized Official

Name: DR. JASON Y. LUK
Title or Position: PHYSICAL THERAPIST
Credential: P.T., D.P.T.
Phone: 818-240-5012