Provider Demographics
NPI:1114227642
Name:LOOKING FORWARD INC.
Entity Type:Organization
Organization Name:LOOKING FORWARD INC.
Other - Org Name:LOOKING FORWARD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:FREDERICO
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:661-272-6898
Mailing Address - Street 1:650 COMMERCE AVE
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-3884
Mailing Address - Country:US
Mailing Address - Phone:661-272-6898
Mailing Address - Fax:877-696-8582
Practice Address - Street 1:650 COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-3884
Practice Address - Country:US
Practice Address - Phone:661-272-6898
Practice Address - Fax:877-696-8582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT20261305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service