Provider Demographics
NPI:1881873149
Name:PAHLEVAN HOSSEINI, MAJID (PT PHYSICAL THERAPIS)
Entity type:Individual
Prefix:MR
First Name:MAJID
Middle Name:
Last Name:PAHLEVAN HOSSEINI
Suffix:
Gender:M
Credentials:PT PHYSICAL THERAPIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 STANFORD CT
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612
Mailing Address - Country:US
Mailing Address - Phone:949-387-1699
Mailing Address - Fax:949-387-1699
Practice Address - Street 1:263 STANFORD CT
Practice Address - Street 2:PACIFIC ORTHOPEDIC REHABILITATION CENTER
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612
Practice Address - Country:US
Practice Address - Phone:949-387-1699
Practice Address - Fax:949-387-1699
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT32583225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist