Healthcare Provider Details

I. General information

NPI: 1619811999
Provider Name (Legal Business Name): DANIEL CLINE PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11143 ALLEGHENY ST
SUN VALLEY CA
91352-1103
US

IV. Provider business mailing address

8325 FOOTHILL BLVD STE F #112
SUNLAND CA
91040
US

V. Phone/Fax

Practice location:
  • Phone: 818-219-6773
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number36329
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number36329
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: