Healthcare Provider Details

I. General information

NPI: 1225232523
Provider Name (Legal Business Name): THERAPY WEST, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THERAPY WEST, INC. 11460 W. WASHINGTON BLVD
LOS ANGELES CA
90066
US

IV. Provider business mailing address

714 N BEVERLY DR
BEVERLY HILLS CA
90210-3322
US

V. Phone/Fax

Practice location:
  • Phone: 310-337-7115
  • Fax: 310-216-6153
Mailing address:
  • Phone: 310-918-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JANET GUNTER
Title or Position: DIRECTOR OF CLINICAL OPERATIONS/CO-
Credential: OTD, OTR/L
Phone: 310-337-7115