Active NPI
Pouilloux Inc
- Physical Medicine & Rehabilitation Physician
- Los Angeles, CA
National Provider Identifier
1760902209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- POUILLOUX INC
- Practice address
- 1125 S Beverly Dr Ste 500
Los Angeles, CA 90035-1183 - Phone
- (310) 714-4459
- NPI assigned
- Jun 26, 2017
- 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
- Philippe Pouilloux, PT
- Title
- Physical Therapist
- Phone
- (310) 714-4459
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
1125 S Beverly Dr Ste 500
Los Angeles, CA 90035-1183
Mailing address
1125 S Beverly Dr Ste 500
Los Angeles, CA 90035-1183
Other names 1
- Brighton Therapy
National Provider Directory
National Provider DirectoryLocations
1125 S Beverly Dr
Ste 500
Los Angeles, CA 90035
Phone (310) 201-1600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498435200000",
"number": "1760902209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 S BEVERLY DR STE 500",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 S BEVERLY DR STE 500",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900351183",
"telephone_number": "310-714-4459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POUILLOUX INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-26",
"last_updated": "2017-06-26",
"status": "A",
"authorized_official_last_name": "POUILLOUX",
"authorized_official_first_name": "PHILIPPE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "310-714-4459",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brighton Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.