Misi Physical Therapy, Pc

LBN: Misi Physical Therapy, Pc
Misi Physical Therapy, Pc is an health care organization with primary practice located at 555 N Nash St , El Segundo CA 90245-2818. 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. Misi Physical Therapy, Pc can be contacted via phone (310) 386-6788, or through Bloom, Brett William via phone (310) 386-6788.

Contact Information

Primary practice address
555 N Nash St El Segundo CA 90245-2818
Phone: (310) 386-6788
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bloom, Brett William PT, DPT
Phone: (310) 386-6788

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1629784848
LBN Legal business name Misi Physical Therapy, Pc
DBA Doing business as
Authorized official Bloom, Brett William PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2023
Last updated May 31st, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629784848 NPPES
California Other 26571 CA PHYSICAL THERAPY BOARD

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