Healthcare Provider Details

I. General information

NPI: 1720231582
Provider Name (Legal Business Name): US HEALTH WORKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2008
Last Update Date: 10/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25285 MADISON AVE
MURRIETA CA
92562-8955
US

IV. Provider business mailing address

PO BOX 50042
LOS ANGELES CA
90074-0001
US

V. Phone/Fax

Practice location:
  • Phone: 951-600-2990
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number33097
License Number StateCA

VIII. Authorized Official

Name: ALLANA TUCKER
Title or Position: PHYSICAL THERPIST
Credential:
Phone: 661-678-2300