Healthcare Provider Details

I. General information

NPI: 1477669703
Provider Name (Legal Business Name): ALPHA PHYSICAL AND OCCUPATIONAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8337 TELEGRAPH RD SUITE 102
PICO RIVERA CA
90660-4909
US

IV. Provider business mailing address

8337 TELEGRAPH RD SUITE 102
PICO RIVERA CA
90660-4909
US

V. Phone/Fax

Practice location:
  • Phone: 562-927-7310
  • Fax: 562-927-7179
Mailing address:
  • Phone: 562-927-7310
  • Fax: 562-927-7179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. BOAZ JACOB HOPENSTAND
Title or Position: OWNER/MANAGER
Credential: O.T.R.
Phone: 562-927-7310