Organization Active NPI

Hollywood Physical Therapy

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1679941405
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HOLLYWOOD PHYSICAL THERAPY
Practice address
4855 Santa Monica Blvd Ste 102
Los Angeles, CA 90029-2654
Phone
(323) 741-8500
NPI assigned
Sep 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
David Dallakian
Title
President
Phone
(323) 741-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4855 Santa Monica Blvd Ste 102
Los Angeles, CA 90029-2654

Mailing address

4855 Santa Monica Blvd Ste 102
Los Angeles, CA 90029-2654
Phone (323) 741-8500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1679941405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 SANTA MONICA BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292654",
            "telephone_number": "323-741-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 SANTA MONICA BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292654",
            "telephone_number": "323-741-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "DALLAKIAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-741-8500"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 5, 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.