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NPI Code Detail

MEDICARE: PHYSICIANS PHYSICAL THERAPY SERVICE INC

MEDICARE: PHYSICIANS PHYSICAL THERAPY SERVICE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT1438CA

General Provider Information

NPI Number : 1043302508
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS PHYSICAL THERAPY SERVICE INC
Provider Business Mailing Address
First Line : 9701 WILSHIRE BLVD
Second Line : MEZZANINE 1
City : BEVERLY HILLS
State : CA
Zip : 90212-2020
Country : US
Telephone Number : 310-275-4137
Fax Number : 310-274-1815
Provider Business Practice Location Address
First Line : 9701 WILSHIRE BLVD
Second Line : MEZZANINE 1
City : BEVERLY HILLS
State : CA
Zip : 90212-2020
Country : US
Telephone Number : 310-275-4137
Fax Number : 310-274-1815
Authorized Official
Title or Position : OWNER
Name : DR. RAUL LONA
Credential : PT
Telephone Number : 310-275-4137
Provider Enumeration Date : 09/29/2006
Last Update Date : 07/08/2008

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Directions to “PHYSICIANS PHYSICAL THERAPY SERVICE INC ” Practice Location

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