Provider Demographics
NPI:1740625839
Name:PRECISION HEALTHCARE ASSOCIATES, LLC
Entity type:Organization
Organization Name:PRECISION HEALTHCARE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:GALANG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:415-297-7158
Mailing Address - Street 1:483 BUENA VISTA AVE E STE A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-4164
Mailing Address - Country:US
Mailing Address - Phone:415-297-7158
Mailing Address - Fax:877-598-5958
Practice Address - Street 1:483 BUENA VISTA AVE E STE A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-4164
Practice Address - Country:US
Practice Address - Phone:415-297-7158
Practice Address - Fax:877-598-5958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-03
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28324225100000X
CA7914225X00000X
CA21925225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty