Provider Demographics
NPI:1437320314
Name:PARISA REFAAT
Entity Type:Organization
Organization Name:PARISA REFAAT
Other - Org Name:BELMONT SHORE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:REFAAT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:562-433-4331
Mailing Address - Street 1:4028 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-1502
Mailing Address - Country:US
Mailing Address - Phone:562-433-4331
Mailing Address - Fax:
Practice Address - Street 1:4028 E BROADWAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-1502
Practice Address - Country:US
Practice Address - Phone:562-433-4331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34230261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy