Healthcare Provider Details

I. General information

NPI: 1902539331
Provider Name (Legal Business Name): DB PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2022
Last Update Date: 07/04/2022
Certification Date: 07/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 S ROBERTSON BLVD STE 310
LOS ANGELES CA
90035-1632
US

IV. Provider business mailing address

822 S ROBERTSON BLVD STE 310
LOS ANGELES CA
90035-1632
US

V. Phone/Fax

Practice location:
  • Phone: 310-360-9069
  • Fax:
Mailing address:
  • Phone: 310-360-9069
  • 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: DAMON BROWN
Title or Position: OWNER
Credential: PT, DPT
Phone: 310-360-9069