Provider Demographics
NPI:1013524263
Name:HEALTHWEST PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:HEALTHWEST PHYSICAL THERAPY, INC.
Other - Org Name:HEALTHWEST THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:619-373-6100
Mailing Address - Street 1:30138 DISNEY LN
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-1230
Mailing Address - Country:US
Mailing Address - Phone:619-373-6100
Mailing Address - Fax:760-290-7250
Practice Address - Street 1:1482 LA MIRADA DR
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-2414
Practice Address - Country:US
Practice Address - Phone:760-704-7000
Practice Address - Fax:760-290-7250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy