Healthcare Provider Details

I. General information

NPI: 1952669301
Provider Name (Legal Business Name): PNP ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 ENDEAVOR STE 105
IRVINE CA
92618-3180
US

IV. Provider business mailing address

18 ENDEAVOR STE 105
IRVINE CA
92618-3180
US

V. Phone/Fax

Practice location:
  • Phone: 949-850-2885
  • Fax: 949-850-7476
Mailing address:
  • Phone: 949-850-2885
  • Fax: 949-850-7476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License NumberPT 27537
License Number StateCA

VIII. Authorized Official

Name: SAPAN N PALKHIWALA
Title or Position: DIRECTOR
Credential: PT, DPT
Phone: 949-850-2885