Premier Home Physical Therapy, Inc

LBN: Premier Home Physical Therapy, Inc
Premier Home Physical Therapy, Inc is an health care organization with primary practice located at 1300 W 6Th St Suite 3, San Pedro CA 90732-3531. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Premier Home Physical Therapy, Inc can be contacted via phone (310) 519-1030, or through Berkovich, John Anthony via phone (310) 918-0765.

Contact Information

Primary practice address
1300 W 6Th St Suite 3 San Pedro CA 90732-3531
Phone: (310) 519-1030
Fax: (310) 519-0194
Website:
Map and Directions
Authorized official contact:
Name: Berkovich, John Anthony
Phone: (310) 918-0765

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT26104 California

Profile Details

NPI number 1316367915
LBN Legal business name Premier Home Physical Therapy, Inc
DBA Doing business as
Authorized official Berkovich, John Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2014
Last updated Apr 22nd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316367915 NPPES
California Other PT26104 MEDICARE PTAN

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