Healthcare Provider Details

I. General information

NPI: 1558209965
Provider Name (Legal Business Name): TROJAN PHYSICAL THERAPY AND PERFORMANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3844 WALTON AVE
LOS ANGELES CA
90037-1144
US

IV. Provider business mailing address

3844 WALTON AVE
LOS ANGELES CA
90037-1144
US

V. Phone/Fax

Practice location:
  • Phone: 541-760-2439
  • Fax:
Mailing address:
  • Phone: 541-760-2439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: TANEY CHAU JR.
Title or Position: PROVIDER / OWNER
Credential: PT, DPT
Phone: 541-760-2439