Healthcare Provider Details

I. General information

NPI: 1598728479
Provider Name (Legal Business Name): MEDCESSITY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 11/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 ORANGE AVE
LONG BEACH CA
90807-2374
US

IV. Provider business mailing address

4010 ORANGE AVE
LONG BEACH CA
90807-3717
US

V. Phone/Fax

Practice location:
  • Phone: 562-428-3556
  • Fax: 562-428-3621
Mailing address:
  • Phone: 562-428-3556
  • Fax: 562-428-3621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number00978
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number23647
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number23647
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number23647
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number23647
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number23647
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number00978
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number00978
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number978
License Number StateCA
# 10
Primary TaxonomyN
Taxonomy Code225XH1300X
TaxonomyHuman Factors Occupational Therapist
License Number00978
License Number StateCA
# 11
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number00978
License Number StateCA
# 12
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number00978
License Number StateCA
# 13
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number23647
License Number StateCA

VIII. Authorized Official

Name: MR. HANK JONATHAN CHINN JR.
Title or Position: VP/OWNER
Credential: MPT
Phone: 562-428-3556