Healthcare Provider Details

I. General information

NPI: 1114950003
Provider Name (Legal Business Name): BRIAN JOSEPH HOHL M.P.T
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 S SEPULVEDA BLVD
LOS ANGELES CA
90025-4313
US

IV. Provider business mailing address

27955 SUNSET HILLS DR
VALENCIA CA
91354-1411
US

V. Phone/Fax

Practice location:
  • Phone: 310-478-6222
  • Fax: 310-478-6696
Mailing address:
  • Phone: 310-864-4866
  • Fax: 310-478-6696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT24045
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: