Provider Demographics
NPI:1679625594
Name:WESTSIDE HAND THERAPY INC.
Entity Type:Organization
Organization Name:WESTSIDE HAND THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:HURWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MHS OTRL CHT
Authorized Official - Phone:310-396-8564
Mailing Address - Street 1:9400 BRIGHTON WAY
Mailing Address - Street 2:STE #301
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4714
Mailing Address - Country:US
Mailing Address - Phone:310-396-8564
Mailing Address - Fax:310-396-0052
Practice Address - Street 1:9400 BRIGHTON WAY
Practice Address - Street 2:STE #301
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4714
Practice Address - Country:US
Practice Address - Phone:310-396-8564
Practice Address - Fax:310-396-0052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT4666174400000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5303050001OtherDME
CA5303050001Medicare NSC
CAW17822Medicare PIN