Provider Demographics
NPI:1891397147
Name:CALIFORNIA DOCTORS OF PHYSICAL THERAPY INC.
Entity Type:Organization
Organization Name:CALIFORNIA DOCTORS OF PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KURTZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, OCS
Authorized Official - Phone:760-703-2989
Mailing Address - Street 1:1830 HACIENDA DR STE 2
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-4544
Mailing Address - Country:US
Mailing Address - Phone:760-941-8600
Mailing Address - Fax:
Practice Address - Street 1:1830 HACIENDA DR STE 2
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-4544
Practice Address - Country:US
Practice Address - Phone:760-941-8600
Practice Address - Fax:760-941-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty