Provider Demographics
NPI:1932280153
Name:USHEALTHWORKS MEDICAL GROUP
Entity Type:Organization
Organization Name:USHEALTHWORKS MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MYLA
Authorized Official - Middle Name:GARCIA
Authorized Official - Last Name:DELA CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:858-455-0200
Mailing Address - Street 1:8456 HARLOW TER
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-1349
Mailing Address - Country:US
Mailing Address - Phone:858-586-2127
Mailing Address - Fax:
Practice Address - Street 1:5897 OBERLIN DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-3761
Practice Address - Country:US
Practice Address - Phone:858-455-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30376225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA30376OtherPHYSICAL THERAPIST