Healthcare Provider Details

I. General information

NPI: 1326514597
Provider Name (Legal Business Name): ADAM GYI DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2018
Last Update Date: 12/28/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 W 8TH ST STE 100
LOS ANGELES CA
90017-4422
US

IV. Provider business mailing address

620 N CORONADO ST
LOS ANGELES CA
90026-3911
US

V. Phone/Fax

Practice location:
  • Phone: 213-401-1985
  • Fax:
Mailing address:
  • Phone: 510-363-7049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: