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General NPI Number Information
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NPI Number | 1801785100
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Entity Type | Organization
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Legal Business Name | PHYSIO CONCIERGE CO. PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 8355 BLACKBURN AVE APT 2
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City | LOS ANGELES
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State | CA
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Zip | 90048-4243
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Country | US
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Telephone | 213-369-5782
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Fax | 213-631-4121
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Provider Business Mailing Address
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Address Line | 8355 BLACKBURN AVE APT 2
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City | LOS ANGELES
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State | CA
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Zip | 90048-4243
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Country | US
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Telephone | 213-369-5782
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Fax | 213-631-4121
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRIAN MENDEZ
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Credential | MPT
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Telephone | 213-369-5782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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