Southern California Corf

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28631 Issued in CA

Legal business name

SOUTHERN CALIFORNIA CORF

Practice address

18531 Roscoe Blvd.
215
Northridge, CA 91324

Phone

(818) 700-0478

Fax

(818) 975-9995

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Ara Tepelekian, D.C

Title

President

Phone

(818) 700-0478

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1265629752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 BALBOA BLVD.",
            "address_2": "504",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "818-700-0478",
            "fax_number": "818-700-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD.",
            "address_2": "215",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91324",
            "telephone_number": "818-700-0478",
            "fax_number": "818-975-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA CORF",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "TEPELEKIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-700-0478",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 27178",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27178",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28631",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel De Jesus Sorto Jr.
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• Soto & Sagan LLC
• Ashley Soto
• Estefany Soto, MS
• Southern California Permanente Medical Group
• Southern California Physician Consultants Solutions, PC
• Joseph Sparks
• Karen A. Spayd, M.A.
• Special Respiratory Care, Inc

• Physical Therapist in Northridge, CA
• Providers in Northridge, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.