Healthcare Provider Details

I. General information

NPI: 1295680643
Provider Name (Legal Business Name): ORANGE THERAPY NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9206 PETIT AVE
NORTH RIDGE CA
91343
US

IV. Provider business mailing address

4924 BALBOA BLVD # 297
ENCINO CA
91316-3402
US

V. Phone/Fax

Practice location:
  • Phone: 818-371-4188
  • Fax:
Mailing address:
  • Phone: 818-371-4188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: SUSIE CARMLEA GUMAPAS
Title or Position: PRESIDENT
Credential:
Phone: 818-371-4188