Provider Demographics
NPI:1134261704
Name:ALLIED HEALTHCARE PROFESSIONALS INC
Entity type:Organization
Organization Name:ALLIED HEALTHCARE PROFESSIONALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOPCS
Authorized Official - Prefix:
Authorized Official - First Name:SIVI
Authorized Official - Middle Name:
Authorized Official - Last Name:MIGUELENA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:805-300-2428
Mailing Address - Street 1:869 LINDAWOOD ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-3633
Mailing Address - Country:US
Mailing Address - Phone:805-496-2680
Mailing Address - Fax:888-709-6882
Practice Address - Street 1:869 LINDAWOOD ST
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-3633
Practice Address - Country:US
Practice Address - Phone:805-496-2680
Practice Address - Fax:888-709-6882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT19275225100000X
CA534982163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT19275Medicare ID - Type UnspecifiedPHYSICAL THERAPIST