Ida L Coryell Hirst
LBN: Ida L Coryell Hirst
Ida L Coryell Hirst is an health care organization with primary practice located at 3908 Valley Ave Ste B, Pleasanton CA 94566-4872. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Ida L Coryell Hirst can be contacted via phone (925) 417-8005, or through Coryell Hirst, Ida L via phone (925) 417-8005.
Contact Information
Primary practice address
3908 Valley Ave Ste B
Pleasanton CA 94566-4872
Phone: (925) 417-8005
Fax: (925) 417-8881
Website:
Authorized official contact:
Name: Coryell Hirst, Ida L Physical Therapist (PT)
Phone: (925) 417-8005
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT13904 | California |
Profile Details
| NPI number | 1861494031 |
|---|---|
| LBN Legal business name | Ida L Coryell Hirst |
| DBA Doing business as | |
| Authorized official | Coryell Hirst, Ida L Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Nov 29th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861494031 | NPPES |
| California | Other | ZZZ16236Z | MEDICARE PTAN |
| California | Other | PT13904 | MEDICARE PTAN |
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