Healthcare Provider Details
I. General information
NPI: 1922436476
Provider Name (Legal Business Name): THERACARE SERVICE & CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2013
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14611 CARMENITA RD
NORWALK CA
90650-5228
US
IV. Provider business mailing address
6351 CANTILES AVE
CYPRESS CA
90630-5309
US
V. Phone/Fax
- Phone: 626-656-5316
- Fax: 888-308-0138
- Phone: 714-363-8144
- Fax: 888-308-0138
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251G0304X |
| Taxonomy | Geriatric Physical Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QX0100X |
| Taxonomy | Occupational Medicine Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LILY
N
HUNG
Title or Position: OWNER / DIRECTOR REHAB
Credential: DPT
Phone: 562-600-0138