Organization Active NPI

Gamsa Therapy Clinic

  • Geriatric Physical Therapist
  • Granada Hills, CA
National Provider Identifier
1710339403
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT28486 Issued in CA
Legal business name
GAMSA THERAPY CLINIC
Practice address
10682 Balboa Blvd
Granada Hills, CA 91344-6329
Phone
(818) 488-4711
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Mr. Won H Choi
Title
President
Phone
(818) 488-4711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X PT28486 CA Primary

Addresses

Primary practice location

10682 Balboa Blvd
Granada Hills, CA 91344-6329

Mailing address

10682 Balboa Blvd
Granada Hills, CA 91344-6329
Phone (818) 488-4711

National Provider Directory

National Provider Directory

Locations

10682 Balboa Blvd
Granada Hills, CA 91344
Phone (213) 999-7770

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1710339403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10682 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446329",
            "telephone_number": "818-488-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10682 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446329",
            "telephone_number": "818-488-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMSA THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "WON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-488-4711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT28486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.