Provider Demographics
NPI:1508328501
Name:LEOISHI, HUY (DPT)
Entity Type:Individual
Prefix:DR
First Name:HUY
Middle Name:
Last Name:LEOISHI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:HUY
Other - Middle Name:
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17487 HURLEY ST
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91744-5106
Mailing Address - Country:US
Mailing Address - Phone:626-965-0959
Mailing Address - Fax:
Practice Address - Street 1:17487 HURLEY ST
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91744-5106
Practice Address - Country:US
Practice Address - Phone:626-965-0959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
CA305154225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician