Healthcare Provider Details
I. General information
NPI: 1821988627
Provider Name (Legal Business Name): OGATA PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4640 DEL AMO BLVD
TORRANCE CA
90503-1939
US
IV. Provider business mailing address
2121 W 178TH ST
TORRANCE CA
90504-4312
US
V. Phone/Fax
- Phone: 310-800-1314
- Fax:
- Phone: 310-779-8698
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KARI
OGATA
Title or Position: OWNER
Credential: MPT
Phone: 310-779-8698