Provider Demographics
NPI:1093470734
Name:RESTORE AND INTEGRATE PHYSICAL THERAPY, PC
Entity Type:Organization
Organization Name:RESTORE AND INTEGRATE PHYSICAL THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:FUJII
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:559-304-9637
Mailing Address - Street 1:24050 MADISON ST STE 113
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6016
Mailing Address - Country:US
Mailing Address - Phone:310-755-0106
Mailing Address - Fax:
Practice Address - Street 1:24050 MADISON ST STE 113
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6016
Practice Address - Country:US
Practice Address - Phone:310-755-0106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy