New Light Physical Therapy And Wellness Center Inc.

LBN: New Light Physical Therapy And Wellness Center Inc.
New Light Physical Therapy And Wellness Center Inc. is an health care organization with primary practice located at 62 Corporate Park Suite # 235, Irvine CA 92606-3122. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. New Light Physical Therapy And Wellness Center Inc. can be contacted via phone (949) 878-6792, or through Etessam, Ali via phone (949) 878-6792.

Contact Information

Primary practice address
62 Corporate Park Suite # 235 Irvine CA 92606-3122
Phone: (949) 878-6792
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Etessam, Ali DPT
Phone: (949) 878-6792

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 20329 California

Profile Details

NPI number 1902225212
LBN Legal business name New Light Physical Therapy And Wellness Center Inc.
DBA Doing business as
Authorized official Etessam, Ali DPT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2014
Last updated Sep 16th, 2021 - about 4 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 1902225212 NPPES
California Other 1558403733 NPI INDIVIDUAL

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