Southern California Corf
Physical Therapist in Northridge, CA. Organization (NPI-2).
NPI number1265629752
StatusActive
Last updated in NPPESDec 9, 2014
Details
- NPI
- 1265629752
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern California Corf
- Organization subpart
- No
- Enumeration date
- Sep 27, 2007
- Last updated
- Dec 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT28631 | CA | Yes |
| 225C00000X | Rehabilitation Counselor | – | – | |
| 111N00000X | Chiropractor | DC 27178 | CA | |
| 111N00000X | Chiropractor | DC27178 | CA |
Practice location
18531 Roscoe Blvd.215
Northridge, CA 91324
Phone 818-700-0478 · Fax 818-975-9995
Mailing address
11024 Balboa Blvd.504
Granada Hills, CA 91344
Phone 818-700-0478 · Fax 818-700-0475
Authorized official
Ara Tepelekian
President
8187000478
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