Provider Demographics
NPI:1932423464
Name:CHRIS TOLOS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:CHRIS TOLOS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:TOLOS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:310-927-6510
Mailing Address - Street 1:8820 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2618
Mailing Address - Country:US
Mailing Address - Phone:310-927-6510
Mailing Address - Fax:310-659-2383
Practice Address - Street 1:23012 BIGLER ST
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2705
Practice Address - Country:US
Practice Address - Phone:310-927-6510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT25954225100000X, 2251H1200X
CAOT8151225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHandGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty