Provider Demographics
NPI:1568698751
Name:NEHA PHYSICAL THERAPY AND YOGA
Entity Type:Organization
Organization Name:NEHA PHYSICAL THERAPY AND YOGA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:310-659-9911
Mailing Address - Street 1:608 STRAND ST
Mailing Address - Street 2:#8
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-2497
Mailing Address - Country:US
Mailing Address - Phone:310-659-9911
Mailing Address - Fax:323-852-7105
Practice Address - Street 1:8420 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3201
Practice Address - Country:US
Practice Address - Phone:310-659-9911
Practice Address - Fax:323-852-7105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28974261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy