Organization Active NPI

Buena Park Rehab & Physical Therapy, Inc

  • Physical Therapist
  • Buena Park, CA
National Provider Identifier
1356414965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BUENA PARK REHAB & PHYSICAL THERAPY, INC
Practice address
7212 Orangethorpe Ave
Suite #4
Buena Park, CA 90621-3341
Phone
(714) 228-1114
Fax
(714) 523-4970
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christian E. Chung, D.C.
Title
Vice President
Phone
(714) 228-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7212 Orangethorpe Ave
Suite #4
Buena Park, CA 90621-3341

Mailing address

7212 Orangethorpe Ave
Suite #4
Buena Park, CA 90621-3341
Phone (714) 228-1114

National Provider Directory

National Provider Directory

Locations

7212 Orangethorpe Ave
Ste 4
Buena Park, CA 90621
Phone (714) 228-1114

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356414965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 ORANGETHORPE AVE",
            "address_2": "SUITE #4",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213341",
            "telephone_number": "714-228-1114",
            "fax_number": "714-523-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 ORANGETHORPE AVE",
            "address_2": "SUITE #4",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213341",
            "telephone_number": "714-228-1114",
            "fax_number": "714-523-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA PARK REHAB & PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-228-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.