FYZIOGYM PHYSICAL THERAPY OF CALIFORNIA CORP (NPI# 1790334878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790334878 |
| Entity Type | Organization |
| Organization Name | FYZIOGYM PHYSICAL THERAPY OF CALIFORNIA CORP |
| Practice Address |
16331 Gothard St Huntington Beach CA 92647-3664 |
| Mailing Address |
711 Pacific Coast Hwy Unit 323 Huntington Beach CA 92648-5053 |
| Practice Telephone | 7146900385 |
| Mailing Telephone | 8148814717 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | LYNEIL MITCHELL (OWNER) |
| Authorized Official Telephone | 8148814717 |
| Authorized Official Credential | PT |
| 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 |
16331 GOTHARD ST |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-3664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116489 | Movement Lab Physical Therapy, Inc | Clinic/Center | 16033 Bolsa Chica St Ste 101, Huntington Beach, CA 92649-2452 | 2019-07-19 |
| 1245685932 | Almonte Physical Therapy, Inc | Clinic/Center | 16501 Regina Cir Apt 4, Huntington Beach, CA 92649-3623 | 2016-04-30 |
| 1144522384 | Mellany Javier Ilagan-adamson | Clinic/Center | 21183 Sailors Bay Ln, Huntington Beach, CA 92646-6920 | 2010-11-19 |
| 1740393693 | Good Shepherd Rehabilitation Agency, Inc | Clinic/Center | 6091 Thor Dr, Huntington Beach, CA 92647-2400 | 2006-08-16 |
| 1275551988 | Eagle Physical Therapy of Huntington Beach | Clinic/Center | 19891 Beach Blvd, Suite 105, Huntington Beach, CA 92648-3209 | 2006-07-18 |
| 1780626572 | Matrix Rehabilitation, Inc. | Clinic/Center | 5355 Warner Ave, Suite 102, Huntington Beach, CA 92649-6030 | 2006-06-13 |
| 1275598039 | New Life Healthcare, LLC | Clinic/Center | 17122 Beach Blvd, Suite 101, Huntington Beach, CA 92647-5992 | 2006-04-17 |
| 1235756677 | Mobile Therapy Specialists Inc | Clinic/Center | 514 8th St, Huntington Beach, CA 92648-4631 | 2020-07-01 |
| 1669011177 | Total Motion Sports Therapy | Clinic/Center | 808 Adams Ave, Huntington Beach, CA 92648-3214 | 2019-12-31 |
| 1801388251 | Britta Louise Jones | Clinic/Center | 7921 Professional Cir, Huntington Beach, CA 92648-1901 | 2018-06-01 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
Please comment or provide details below to improve the information on FYZIOGYM PHYSICAL THERAPY OF CALIFORNIA CORP.
| 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.