Healthcare Provider Details

I. General information

NPI: 1104852839
Provider Name (Legal Business Name): HO REHAB CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18376 CLARK ST
TARZANA CA
91356-3502
US

IV. Provider business mailing address

18376 CLARK ST
TARZANA CA
91356-3502
US

V. Phone/Fax

Practice location:
  • Phone: 818-996-8386
  • Fax: 818-996-8979
Mailing address:
  • Phone: 818-996-8386
  • Fax: 818-996-8979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT8959
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DER-HOW HUANG
Title or Position: OWNER/PRESIDENT
Credential: DPT, OCS, CSCS
Phone: 818-996-8386