CALIFORNIA THERAPY SERVICES LLC

Provider Demographics

• NPI: 1134742364
• Name: CALIFORNIA THERAPY SERVICES LLC
• Entity type: Organization
• Organization Name: CALIFORNIA THERAPY SERVICES LLC
• Authorized Official - Title/Position: PRESIDENT
• Authorized Official - Prefix: DR
• Authorized Official - First Name: ZACHARY
• Authorized Official - Middle Name: DAVID
• Authorized Official - Last Name: PEVNICK
• Authorized Official - Credentials: DPT, PT
• Authorized Official - Phone: 310-907-9215
• Mailing Address - Street 1: 12655 W JEFFERSON BLVD FL 4
• Mailing Address - City: LOS ANGELES
• Mailing Address - State: CA
• Mailing Address - Zip Code: 90066-7008
• Mailing Address - Country: US
• Mailing Address - Phone: 310-907-9215
• Mailing Address - Fax: 310-953-3281
• Practice Address - Street 1: 12655 W JEFFERSON BLVD FL 4
• Practice Address - City: LOS ANGELES
• Practice Address - State: CA
• Practice Address - Zip Code: 90066-7008
• Practice Address - Country: US
• Practice Address - Phone: 310-907-9215
• Practice Address - Fax: 310-953-3281
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2020-05-21
• Last Update Date: 2020-08-11

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist		Group - Multi-Specialty
No	2251C2600X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Cardiopulmonary	Group - Multi-Specialty
No	2251G0304X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Geriatrics	Group - Multi-Specialty
No	2251N0400X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Neurology	Group - Multi-Specialty
No	2251S0007X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Sports	Group - Multi-Specialty
No	2251X0800X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Orthopedic	Group - Multi-Specialty
No	225200000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapy Assistant		Group - Multi-Specialty
No	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist		Group - Multi-Specialty
No	225XE0001X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Environmental Modification	Group - Multi-Specialty
No	225XM0800X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Mental Health	Group - Multi-Specialty
No	225XN1300X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Neurorehabilitation	Group - Multi-Specialty
No	225XP0019X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Physical Rehabilitation	Group - Multi-Specialty
No	225XP0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Pediatrics	Group - Multi-Specialty
No	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist		Group - Multi-Specialty