Provider Demographics
NPI:1982352233
Name:HENG THERAPY SERVICES
Entity Type:Organization
Organization Name:HENG THERAPY SERVICES
Other - Org Name:THERAPY BUDDY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HENG
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:951-266-9880
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92556-0220
Mailing Address - Country:US
Mailing Address - Phone:951-266-9880
Mailing Address - Fax:
Practice Address - Street 1:23180 HEMLOCK AVE STE 100
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92557-8001
Practice Address - Country:US
Practice Address - Phone:951-266-9880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty