Waldberg, Jeff
Waldberg, Jeff is an individual health care provider with primary practice located at 1145 Lindero Canyon Rd Ste D7 , Westlake Village CA 91362-5475. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Waldberg, Jeff can be contacted via phone (818) 865-9800.Contact Information
Primary practice address
1145 Lindero Canyon Rd Ste D7
Westlake Village CA 91362-5475
Phone: (818) 865-9800
Fax: (818) 865-9802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT9727 | California |
Profile Details
| NPI number | 1881736395 |
|---|---|
| LBN Legal business name | Waldberg, Jeff |
| Credentials | PT, MOMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Dec 3rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881736395 | NPPES |
| California | Other | PT9727 | STATE LICENSE |
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