Provider Demographics
NPI:1487840955
Name:ALL CARE PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:ALL CARE PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SITIPON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVATIPON
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:714-529-0700
Mailing Address - Street 1:2120 S HACIENDA BLVD
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4242
Mailing Address - Country:US
Mailing Address - Phone:714-529-0700
Mailing Address - Fax:
Practice Address - Street 1:2120 S HACIENDA BLVD
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-4242
Practice Address - Country:US
Practice Address - Phone:714-529-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26575261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy