1114316072 NPI number — SKYPARK PHYSICAL THERAPY & REHABILITATION

Table of content: (NPI 1114316072)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114316072 NPI number — SKYPARK PHYSICAL THERAPY & REHABILITATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SKYPARK PHYSICAL THERAPY & REHABILITATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114316072
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/14/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23332 HAWTHORNE BLVD
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
TORRANCE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90505-3749
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-373-5288
Provider Business Mailing Address Fax Number:
310-373-6223

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23332 HAWTHORNE BLVD
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90505-3749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-373-5288
Provider Business Practice Location Address Fax Number:
310-373-6223
Provider Enumeration Date:
01/15/2015

Additional Information

Authorized Official

Authorized Official Last Name:
KOYANAGI
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
KIYOSHI
Authorized Official Title or Position:
OWNER/PHYSICAL THERAPIST
Authorized Official Telephone Number:
310-999-5562

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  PT37640 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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