Provider Demographics
NPI:1649422502
Name:MAJIDPAHLEVAN PHYSICALTHERAPIST INC
Entity Type:Organization
Organization Name:MAJIDPAHLEVAN PHYSICALTHERAPIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MAJID
Authorized Official - Middle Name:
Authorized Official - Last Name:PAHLEVAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:949-887-0920
Mailing Address - Street 1:263 STANFORD CT
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612
Mailing Address - Country:US
Mailing Address - Phone:949-387-1699
Mailing Address - Fax:
Practice Address - Street 1:263 STANFORD CT
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612
Practice Address - Country:US
Practice Address - Phone:949-387-1699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 32583225100000X
CAPT 32209225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty