Provider Demographics
NPI:1205170099
Name:ALHOOIE, NADER (DPT)
Entity type:Individual
Prefix:DR
First Name:NADER
Middle Name:
Last Name:ALHOOIE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30112 CROWN VALLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-2042
Mailing Address - Country:US
Mailing Address - Phone:949-363-7716
Mailing Address - Fax:949-363-1244
Practice Address - Street 1:30112 CROWN VALLEY PKWY
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677
Practice Address - Country:US
Practice Address - Phone:949-363-7716
Practice Address - Fax:949-363-1244
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT010845225100000X
CA293327225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist