NPIMap

Organization Active NPI

Healthhaus LLC

Doing business as FulHaus

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1306442587
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALTHHAUS LLC
Doing business as
FulHaus
HealthHaus LLC
Practice address
1240 N Ogden Dr
1
Los Angeles, CA 90046
Phone
(626) 200-8896
NPI assigned
Dec 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Ronie Mina, PRESIDENTNPI 1225630270
Title
President
Phone
(626) 200-8896

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1240 N Ogden Dr
1
Los Angeles, CA 90046

Mailing address

1240 N Ogden Dr Apt 1
West Hollywood, CA 90046-4728
Phone (626) 200-8896

Other identifiers 1

IdentifierTypeStateIssuer
1225630270OtherCAPHYSICAL THERAPIST

Other names 2

  • FulHaus Doing business as
  • HealthHaus LLC Doing business as

National Provider Directory

National Provider Directory

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": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1306442587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N OGDEN DR APT 1",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900464728",
            "telephone_number": "626-200-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N OGDEN DR",
            "address_2": "1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "626-200-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHHAUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "MINA",
        "authorized_official_first_name": "RONIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-200-8896",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "1225630270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FulHaus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FulHaus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthHaus LLC",
            "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 Mar 17, 2021; 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.