Healthcare Provider Details

I. General information

NPI: 1053229179
Provider Name (Legal Business Name): SADIGHIM PHYSICAL THERAPY, P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11030 SANTA MONICA BLVD STE 202
LOS ANGELES CA
90025-7514
US

IV. Provider business mailing address

11030 SANTA MONICA BLVD STE 202
LOS ANGELES CA
90025-7514
US

V. Phone/Fax

Practice location:
  • Phone: 310-447-4902
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FARAZ SADIGHIM
Title or Position: PRESIDENT
Credential: DPT
Phone: 310-447-4902