NPIMap

Organization Active NPI

Choe Pennella Physical Therapy

Doing business as The LAB

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1154799153
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40535 Issued in CA
Legal business name
CHOE PENNELLA PHYSICAL THERAPY
Doing business as
The LAB
Practice address
700 Wilshire Blvd
Suite 505
Los Angeles, CA 90017-3811
Phone
(847) 691-0032
NPI assigned
Sep 8, 2015
Last updated
May 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Choe, DPTNPI 1477984698
Title
Owner
Phone
(847) 691-0032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40535 CA Primary

Addresses

Primary practice location

700 Wilshire Blvd
Suite 505
Los Angeles, CA 90017-3811

Mailing address

700 Wilshire Blvd
Suite 505
Los Angeles, CA 90017-3811
Phone (847) 691-0032

Other identifiers 1

IdentifierTypeStateIssuer
40535OtherCALICENSE

Other names 1

  • The LAB Doing business as

National Provider Directory

National Provider Directory

Locations

700 Wilshire Blvd
Ste 505
Los Angeles, CA 90017
Phone (847) 691-0032

Practitioners & 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1154799153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WILSHIRE BLVD",
            "address_2": "SUITE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173811",
            "telephone_number": "847-691-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WILSHIRE BLVD",
            "address_2": "SUITE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173811",
            "telephone_number": "847-691-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOE PENNELLA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "CHOE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-691-0032",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "40535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "40535",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.