Paul Tran
Physical Therapist in Los Angeles, CA. Organization (NPI-2).
NPI number1013782986
StatusActive
Last updated in NPPESSep 30, 2024
Details
- NPI
- 1013782986
- Entity type
- Organization (NPI-2)
- Legal business name
- Paul Tran
- Organization subpart
- No
- Enumeration date
- Nov 20, 2023
- Certification date
- Sep 30, 2024
- Last updated
- Sep 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Other names
- Kinesio Club Physical Therapy (Doing Business As)
Practice location
3932 Wilshire Blvd Ste 210Los Angeles, CA 90010-3307
Phone 215-805-8537
Mailing address
424 S Westmoreland Ave Apt 104Los Angeles, CA 90020-1537
Authorized official
Paul Tran
Owner
2158058537
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