Provider Demographics
NPI:1598111940
Name:US HEALTHWORKS
Entity Type:Organization
Organization Name:US HEALTHWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT, REGIONAL VICE PRESIDENT OF PT
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSSEFIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-394-4510
Mailing Address - Street 1:1717 CAMINO DE LA COSTA APT 7
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-5412
Mailing Address - Country:US
Mailing Address - Phone:480-299-5955
Mailing Address - Fax:
Practice Address - Street 1:3364 E SLAUSON AVE
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CA
Practice Address - Zip Code:90058-3915
Practice Address - Country:US
Practice Address - Phone:626-394-1575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPTA47963174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty