Provider Demographics
NPI:1760519011
Name:AUM PHYSICAL THERAPY & YOGA CENTER INC
Entity Type:Organization
Organization Name:AUM PHYSICAL THERAPY & YOGA CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DHAVAL
Authorized Official - Middle Name:P
Authorized Official - Last Name:BUCH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:661-588-4286
Mailing Address - Street 1:1002 CALLOWAY DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-6337
Mailing Address - Country:US
Mailing Address - Phone:661-588-4286
Mailing Address - Fax:661-588-9986
Practice Address - Street 1:1002 CALLOWAY DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-6337
Practice Address - Country:US
Practice Address - Phone:661-588-4286
Practice Address - Fax:661-588-9986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT16581225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT0165810Medicaid
1164559480OtherNPI - DHAVAL BUCH, PT
CAZZZ01723ZMedicare PIN
1164559480OtherNPI - DHAVAL BUCH, PT