Healthcare Provider Details

I. General information

NPI: 1538985858
Provider Name (Legal Business Name): CALIFORNIA HAND AND PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 LOMBARD ST
THOUSAND OAKS CA
91360-5898
US

IV. Provider business mailing address

425 LOMBARD ST
THOUSAND OAKS CA
91360-5898
US

V. Phone/Fax

Practice location:
  • Phone: 805-494-4145
  • Fax: 805-494-4146
Mailing address:
  • Phone: 805-494-4145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH PETRUS
Title or Position: BUSINESS ADMINISTRATOR/MANAGER
Credential:
Phone: 805-494-4145