Healthcare Provider Details
I. General information
NPI: 1619730215
Provider Name (Legal Business Name): HINGE HEALTH DIGITAL CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/05/2024
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
455 MARKET ST STE 700
SAN FRANCISCO CA
94105-3350
US
IV. Provider business mailing address
455 MARKET ST STE 700
SAN FRANCISCO CA
94105-3350
US
V. Phone/Fax
- Phone: 855-902-2777
- Fax:
- Phone: 855-902-2777
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
PEREZ
Title or Position: DIRECTOR
Credential:
Phone: 855-902-2777