Provider Demographics
NPI:1225614647
Name:SOUTHERN CALIFORNIA HAND AND PHYSICAL THERAPY
Entity Type:Organization
Organization Name:SOUTHERN CALIFORNIA HAND AND PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:NAVID
Authorized Official - Last Name:RABIZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:818-723-4332
Mailing Address - Street 1:1140 S ROBERTSON BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1463
Mailing Address - Country:US
Mailing Address - Phone:818-723-4332
Mailing Address - Fax:310-887-4826
Practice Address - Street 1:1140 S ROBERTSON BLVD STE 3
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1463
Practice Address - Country:US
Practice Address - Phone:818-723-4992
Practice Address - Fax:310-887-4826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy