123 PEDIATRIC THERAPY, A PHYSICAL THERAPY P.C. (NPI# 1275085235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275085235 |
| Entity Type | Organization |
| Organization Name | 123 PEDIATRIC THERAPY, A PHYSICAL THERAPY P.C. |
| Practice Address |
855 N Lark Ellen Ave Suite L West Covina CA 91791-1099 |
| Mailing Address |
926 W 12th St Pomona CA 91766-2835 |
| Practice Telephone | 9099642186 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2019-01-08 |
| Authorized Official Name | KAREN APRIL HWANG (DIRECTOR) |
| Authorized Official Telephone | 9099642186 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
855 N LARK ELLEN AVE SUITE L |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91791-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124009089 | Harold Lee Laue Jr. | Chiropractor | 855 N Lark Ellen Ave, Suite H, West Covina, CA 91791-1099 | 2005-11-08 |
| 1982008934 | Opd Foot and Ankle | Clinic/Center | 855 N Lark Ellen Ave, Suite C, West Covina, CA 91791-1099 | 2014-10-20 |
| 1457764896 | Cynthia Lee Hill | Speech-Language Pathologist | 855 N Lark Ellen Ave, Suite J, West Covina, CA 91791-1099 | 2014-06-03 |
| 1407274384 | Charles J. Young Dds | Dentist | 855 N Lark Ellen Ave, Suite F, West Covina, CA 91791-1099 | 2014-03-28 |
| 1861827685 | Karen April Hwang | Physical Therapist | 855 N Lark Ellen Ave, Suite L, West Covina, CA 91791-1099 | 2013-09-11 |
| 1417253147 | Kenny Keui-hsiang Huang | Podiatrist | 855 N Lark Ellen Ave, Suite C, West Covina, CA 91791-1099 | 2011-01-27 |
| 1902025307 | United Therapy Network Incorporated | Speech-Language Pathologist | 855 N Lark Ellen Ave, Suite J, West Covina, CA 91791-1099 | 2007-04-24 |
| 1679608715 | Andrew Knoll Fujita | Chiropractor | 855 N Lark Ellen Ave, Suite D, West Covina, CA 91791-1099 | 2007-02-22 |
| 1073651139 | Premier Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 855 N Lark Ellen Ave, Ste I, West Covina, CA 91791-1099 | 2007-02-01 |
| 1477618452 | Mahindokht Jafari | Pediatrics | 855 N Lark Ellen Ave, Suite A, West Covina, CA 91791-1099 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938896 | Oriental Holistic Acupuncture Healthe Center Inc | Acupuncturist | 1414 S. Azusa Ave., Ste B-5, West Covina, CA 91791 | 2018-07-09 |
| 1780110312 | Yenmien Chen | Pharmacist | 5944 N Figueroa Ave, Los Angeles, CA 91791 | 2017-05-02 |
| 1568861227 | Gashparova Dental Practice Inc. | Dentist | 628 N. Azusa Ave., West Covina, CA 91791 | 2014-08-19 |
| 1740607837 | Melinda Rodriguez-mendoza | Nurse Practitioner | 1444 E Mcwood St, West Covina, CA 91791 | 2014-03-26 |
| 1710245782 | Mark Chevy S Ledesma | Dentist | 319 N Azusa Ave., W Covina, CA 91791 | 2012-04-27 |
| 1508184920 | Elba Cecilia Olivares | Chiropractor | 743 S. Hillward Ave, West Covina, CA 91791 | 2010-05-10 |
| 1861668832 | Susette C Thompson | Case Manager/Care Coordinator | 1829 Eworkman Ave #1, West Covina, CA 91791 | 2008-04-30 |
| 1376729483 | Accentcare Home Health of California, Inc. | Home Health | 2934 E Garvey Ave S Ste 210, West Covina, CA 91791 | 2008-01-18 |
| 1629195870 | Jung Jung Liu | Dentist | 628 North Azusa Ave, West Covina, CA 91791 | 2007-03-23 |
| 1548302748 | Mark Chevy S Ledesma Dds Inc | Dentist | 319 N Azusa Ave, W Covina, CA 91791 | 2007-02-13 |
| Find all providers in zip 91791 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720034069 | Thomas V Deguzman, Pt, A Professional Corp | Clinic/Center | 410 E Merced Ave, Suite E, West Covina, CA 91790-5058 | 2006-05-26 |
| 1407407455 | Elite Health & Rehabilitation | Clinic/Center | 1535 W Merced Ave Ste 104, West Covina, CA 91790-3404 | 2019-09-20 |
| 1922231117 | Absolute Physical Therapy, Inc. | Clinic/Center | 1523 E Amar Rd, West Covina, CA 91792-1619 | 2009-09-03 |
| 1194759159 | Harmon Physical Therapy, Inc. | Clinic/Center | 1250 S Sunset Ave, #204, West Covina, CA 91790-3961 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | WEST COVINA |
| Zip Code | 91791 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.