Provider Demographics
NPI:1013942598
Name:CDH, INC.
Entity Type:Organization
Organization Name:CDH, INC.
Other - Org Name:BEST PAIN MANAGEMENT & PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:HELATHAH
Authorized Official - Last Name:GOLDSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-838-6743
Mailing Address - Street 1:13373 PERRIS BLVD
Mailing Address - Street 2:SUITE C202B
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-4206
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13373 PERRIS BLVD
Practice Address - Street 2:SUITE C202B
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-4206
Practice Address - Country:US
Practice Address - Phone:951-924-6332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
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
CAZZZ03778ZMedicare ID - Type UnspecifiedMEDICARE GROUP #