Provider Demographics
NPI:1972660579
Name:HO PHYSICAL THERAPY
Entity Type:Organization
Organization Name:HO PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:SU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-278-5337
Mailing Address - Street 1:9675 BRIGHTON WAY
Mailing Address - Street 2:#250
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5180
Mailing Address - Country:US
Mailing Address - Phone:310-278-5337
Mailing Address - Fax:310-278-6204
Practice Address - Street 1:9675 BRIGHTON WAY
Practice Address - Street 2:#250
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5180
Practice Address - Country:US
Practice Address - Phone:310-278-5337
Practice Address - Fax:310-278-6204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WPT8958AMedicare ID - Type UnspecifiedJING CHING SALLY HO DPT
WPT25351AMedicare ID - Type UnspecifiedBRIAN PARSONS DPT
WPT32053AMedicare ID - Type UnspecifiedMICHELE BRENNAN DPT
WPT33010AMedicare ID - Type UnspecifiedTOMMY LIN DPT
WPT32164AMedicare ID - Type UnspecifiedNATALIE LAMB DPT