Active NPI
Hollywood Physical Therapy
- Physical Therapy Clinic/Center
- Los Angeles, CA
National Provider Identifier
1679941405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Hollywood Mental Health Center
- Hollywood Mental Health Collaborative, Inc
- Hollywood Optometrist
- Hollywood Optometrist
- Hollywood Pathology Medical Group
- Hollywood Premium Home Care, Inc.
- Hollywood Presbyterian Emergency Medical Associates, Inc.
- Hollywood Prime Care Medical Center
- Hollywood Psychotherapy and Counseling Center, Inc
- Hollywood Psychotherapy Inc
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.