Jade Physical Therapy & Wellness Inc

LBN: Jade Physical Therapy & Wellness Inc
Jade Physical Therapy & Wellness Inc is an health care organization with primary practice located at 1575 N Lake Ave Ste 205, Pasadena CA 91104-2340. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Jade Physical Therapy & Wellness Inc can be contacted via phone (626) 566-8332, or through Soutullo, Fernando Luis via phone (626) 566-8332.

Contact Information

Primary practice address
1575 N Lake Ave Ste 205 Pasadena CA 91104-2340
Phone: (626) 566-8332
Fax: (888) 624-7542
Website:
Map and Directions
Authorized official contact:
Name: Soutullo, Fernando Luis Physical Therapist (PT)
Phone: (626) 566-8332

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 41255 California

Profile Details

NPI number 1609258128
LBN Legal business name Jade Physical Therapy & Wellness Inc
DBA Doing business as
Authorized official Soutullo, Fernando Luis Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2015
Last updated Aug 21st, 2015 - about 10 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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