=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205846615
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HENRICK MACALINTAL DPT
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2006
-----------------------------------------------------
Last Update Date | 01/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14708 HAWTHORNE BLVD.
-----------------------------------------------------
City | LAWNDALE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90260-1523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-659-9311
-----------------------------------------------------
Fax | 562-989-6516
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1816 PASS AND COVINA RD
-----------------------------------------------------
City | WEST COVINA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91792-1110
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-863-3433
-----------------------------------------------------
Fax | 562-989-6516
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 28882
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------