Premier Physical Therapy And Wellness Clinic Inc.

LBN: Premier Physical Therapy And Wellness Clinic Inc.
Premier Physical Therapy And Wellness Clinic 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 Other Service Providers / Specialist, which is considered as the primary health care specialty. Premier Physical Therapy And Wellness Clinic Inc. can be contacted via phone (310) 217-9088, or through Berkovich, John Anthony via phone (310) 519-1030.

Contact Information

Primary practice address
1300 W 6Th St Suite 3 San Pedro CA 90732-3531
Fax:
Website:
Authorized official contact:
Name: Berkovich, John Anthony Physical Therapist (PT)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT26104 California

Profile Details

NPI number 1225379597
LBN Legal business name Premier Physical Therapy And Wellness Clinic Inc.
DBA Doing business as
Authorized official Berkovich, John Anthony Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2013
Last updated Mar 6th, 2018 - about 8 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 1225379597 NPPES
California Other DL193A MEDICARE PTAN

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