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NPI Code Detail

MEDICARE: MEDSTAR PHYSICAL THERAPY, INC.

MEDICARE: MEDSTAR PHYSICAL THERAPY, 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 TherapistPT12100CA

General Provider Information

NPI Number : 1871854315
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDSTAR PHYSICAL THERAPY, INC.
Provider Business Mailing Address
First Line : 3427 ARLINGTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-3254
Country : US
Telephone Number : 818-244-0009
Fax Number : 818-244-1703
Provider Business Practice Location Address
First Line : 3427 ARLINGTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92506-3254
Country : US
Telephone Number : 818-244-0009
Fax Number : 818-244-1703
Authorized Official
Title or Position : PRESIDENT
Name : MAJID SAEDIFAR
Credential : RPT
Telephone Number : 818-244-0009
Provider Enumeration Date : 05/31/2012
Last Update Date : 05/31/2012

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Directions to “MEDSTAR PHYSICAL THERAPY, INC. ” Practice Location

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