Core Care Pediatric Therapy Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

33449 Issued in CA

Legal business name

CORE CARE PEDIATRIC THERAPY INC.

Practice address

1930 Wilshire Blvd
Suite 1007
Los Angeles, CA 90057-3605

Phone

(213) 353-9196

Fax

(323) 798-4168

NPI assigned

Sep 4, 2009

Last updated

Nov 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eseosa B Guobadia, D.P.T.

Title

Owner/ Director of Services

Phone

(213) 353-9196

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1306179577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 BARHAM BLVD",
            "address_2": "W301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681142",
            "telephone_number": "213-353-9196",
            "fax_number": "323-798-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 WILSHIRE BLVD",
            "address_2": "SUITE 1007",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573605",
            "telephone_number": "213-353-9196",
            "fax_number": "323-798-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CARE PEDIATRIC THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "GUOBADIA",
        "authorized_official_first_name": "ESEOSA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "213-353-9196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "33449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silviana Cordova, AA CHILD DEVELOPMENT
• Steve Cordova, LCSW
• Taylor Madison Cordova
• Veronica Cordova
• Rachel Cordy, PTA
• Core Community Supports LLC
• Core Melrose LLC
• Core Nursing, Inc.
• Michael Anthony Core, MD
• Lenin Corea Santillana

• Physical Therapy Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.