Healthcare Provider Details

I. General information

NPI: 1508577230
Provider Name (Legal Business Name): UNITED INJURY TREATMENT CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2022
Last Update Date: 04/09/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19115 COLIMA RD UNIT 205
ROWLAND HEIGHTS CA
91748-3075
US

IV. Provider business mailing address

19115 COLIMA RD UNIT 205
ROWLAND HEIGHTS CA
91748-3075
US

V. Phone/Fax

Practice location:
  • Phone: 626-581-6936
  • Fax: 626-581-3018
Mailing address:
  • Phone: 626-581-6936
  • Fax: 626-581-3018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HAITAO ZHANG
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 626-581-6936