Provider Demographics
NPI:1407007511
Name:HPE-HUMAN PERFORMANCE ENHANCEMENT, INC.
Entity Type:Organization
Organization Name:HPE-HUMAN PERFORMANCE ENHANCEMENT, INC.
Other - Org Name:HPE, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHY
Authorized Official - Middle Name:SHALOM
Authorized Official - Last Name:AZOULAY
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:310-980-0403
Mailing Address - Street 1:1500 ROSECRANS AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-3763
Mailing Address - Country:US
Mailing Address - Phone:310-980-0403
Mailing Address - Fax:
Practice Address - Street 1:1500 ROSECRANS AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-3763
Practice Address - Country:US
Practice Address - Phone:310-980-0403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty