Executive Hand Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EXECUTIVE HAND THERAPY, INC.

Practice address

400 N Tustin Ave
Suite 401
Santa Ana, CA 92705-3813

Phone

(714) 564-8210

Fax

(714) 564-8306

NPI assigned

Aug 31, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ron Yaron Goldstein, M.D.

Title

President

Phone

(714) 564-8210

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1639302136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N TUSTIN AVE",
            "address_2": "SUITE 401",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053813",
            "telephone_number": "714-564-8210",
            "fax_number": "714-564-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N TUSTIN AVE",
            "address_2": "SUITE 401",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053813",
            "telephone_number": "714-564-8210",
            "fax_number": "714-564-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE HAND THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "YARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-564-8210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, 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 Aug 31, 2009; 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.