Simi Physical Therapy Center

LBN: Divine Health Provider Physical Therapy Inc
Simi Physical Therapy Center is an health care organization with primary practice located at 1687 Erringer Rd Ste 109 , Simi Valley CA 93065-6509. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Divine Health Provider Physical Therapy Inc can be contacted via phone (805) 581-4266, or through Tan, Jonah via phone (805) 581-4266.

Contact Information

Primary practice address
1687 Erringer Rd Ste 109 Simi Valley CA 93065-6509
Fax: (805) 581-5049
Website:
Authorized official contact:
Name: Tan, Jonah MPT, PA-C

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT24912 California

Profile Details

NPI number 1386899763
LBN Legal business name Divine Health Provider Physical Therapy Inc
DBA Doing business as Simi Physical Therapy Center
Authorized official Tan, Jonah MPT, PA-C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2008
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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