Healthcare Provider Details

I. General information

NPI: 1396542973
Provider Name (Legal Business Name): HOLISTIC HEALING PHYSICAL THERAPY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4849 RONSON CT STE 103
SAN DIEGO CA
92111-1805
US

IV. Provider business mailing address

9308 BABAUTA RD APT 62
SAN DIEGO CA
92129-4922
US

V. Phone/Fax

Practice location:
  • Phone: 858-800-2686
  • Fax: 858-221-6981
Mailing address:
  • Phone: 626-382-6981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CRISTINA ZHENG
Title or Position: CEO
Credential: PT, DPT, PCES
Phone: 626-382-6981