Healthcare Provider Details

I. General information

NPI: 1518861137
Provider Name (Legal Business Name): ALTHEA SOLLER EDANG DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3445 PACIFIC COAST HWY STE 310
TORRANCE CA
90505-6660
US

IV. Provider business mailing address

3345 E SPRINGCREEK RD
WEST COVINA CA
91791-2380
US

V. Phone/Fax

Practice location:
  • Phone: 310-370-1200
  • Fax:
Mailing address:
  • Phone: 626-250-4657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number311111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: