HOLLYWOOD PHYSICAL THERAPY (NPI# 1679941405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679941405 |
| Entity Type | Organization |
| Organization Name | HOLLYWOOD PHYSICAL THERAPY |
| Practice Address |
4855 Santa Monica Blvd Ste 102 Los Angeles CA 90029-2654 |
| Practice Telephone | 3237418500 |
| Mailing Telephone | 3237418500 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | GRIGOR CHULYAN (PRESIDENT) |
| Authorized Official Telephone | 3237418500 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HOLLYWOOD PHYSICAL THERAPY | 3104 Ne 49th Ave, Portland, OR 97213 |
| Street Address |
4855 SANTA MONICA BLVD STE 102 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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 |
| 1770148132 | Rosette Physical Therapy, P.c | Clinic/Center | 6707 Springpark Ave Apt 6, Los Angeles, CA 90056-2305 | 2019-05-01 |
| 1225594815 | Phzio New Jersey, LLC | Clinic/Center | 2019 Clyde Ave, Los Angeles, CA 90016-1012 | 2019-02-19 |
| 1518459346 | Jason Ferine Physical Therapy Inc | Clinic/Center | 2300 Westwood Blvd Ste 100, Los Angeles, CA 90064-2045 | 2018-06-06 |
| 1609366319 | Jodi Loeffler Physical Therapy Inc | Clinic/Center | 3730 Moore St, Los Angeles, CA 90066-3530 | 2018-05-17 |
| 1275041964 | Clark Consulting and Physical Therapy Inc | Clinic/Center | 8436 W 3rd St Ste 602, Los Angeles, CA 90048-4186 | 2018-01-16 |
| 1932627163 | Regents of The Univ of California | Clinic/Center | 1131 Wilshire Boulevard, Suite 200, Los Angeles, CA 90404-1249 | 2017-09-08 |
| 1295275956 | Pt Stop Physical Therapy & Wellness, Inc | Clinic/Center | 3407 W 6th St Ste 514, Los Angeles, CA 90020-2552 | 2017-02-28 |
| 1740726470 | Steele Physical Therapy Inc | Clinic/Center | 742 S. Bronson Ave, Los Angeles, CA 90005 | 2017-01-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90029 |
Please comment or provide details below to improve the information on HOLLYWOOD PHYSICAL THERAPY.
| 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.