Active NPI
Angel Physical Therapy Inc.
- Physical Therapy Clinic/Center
- Pomona, CA
National Provider Identifier
1073845376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ANGEL PHYSICAL THERAPY INC.
- Practice address
- 502 W Holt Ave
Pomona, CA 91768-3604 - Phone
- (909) 620-5699
- NPI assigned
- Feb 11, 2010
- Last updated
- Feb 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rasoul Pooyandeh
- Title
- Ceo
- Phone
- (909) 620-5699
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
502 W Holt Ave
Pomona, CA 91768-3604
Mailing address
502 W Holt Ave
Pomona, CA 91768-3604
Phone (909) 620-5699
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Pomona, CA
- NPI 1013135656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265846400000",
"number": "1073845376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 W HOLT AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917683604",
"telephone_number": "909-620-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W HOLT AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917683604",
"telephone_number": "909-620-5699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL PHYSICAL THERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-11",
"last_updated": "2010-02-11",
"status": "A",
"authorized_official_last_name": "POOYANDEH",
"authorized_official_first_name": "RASOUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-620-5699",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.