Organization Active NPI

Seen Health San Gabriel Valley, LLC

  • Physical Therapy Clinic/Center
  • Alhambra, CA
National Provider Identifier
1174348684
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SEEN HEALTH SAN GABRIEL VALLEY, LLC
Practice address
1839 W Valley Blvd
Alhambra, CA 91803-2344
Phone
(626) 263-1263
Fax
(626) 604-1062
NPI assigned
Nov 19, 2024
Organization subpart
Yes
Parent organization
SEEN HEALTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Xing Su
Title
Ceo
Phone
(214) 207-6330

Specialties & licenses 1

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

Addresses

Primary practice location

1839 W Valley Blvd
Alhambra, CA 91803-2344

Mailing address

548 Market St
PMB 76247
San Francisco, CA 94104
Phone (626) 563-0588

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2309684Seen Health San Gabriel Valley, LLC1839 W Valley Boulevard, Alhambra, CA 91803Certificate of waiverAug 19, 2026

National Provider Directory

National Provider Directory

Locations

1839 W Valley Blvd
Alhambra, CA 91803
Phone (626) 263-1263

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1174348684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 MARKET ST",
            "address_2": "PMB 76247",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94104",
            "telephone_number": "626-563-0588",
            "fax_number": "626-604-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 W VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032344",
            "telephone_number": "626-263-1263",
            "fax_number": "626-604-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEN HEALTH SAN GABRIEL VALLEY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEEN HEALTH, INC",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "XING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-207-6330"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.