Khiem Tran Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27904 Issued in CA

Legal business name

KHIEM TRAN PHYSICAL THERAPY, INC.

Practice address

381 Cedar Ave
Brea, CA 92821-6602

Phone

(949) 274-5342

Fax

(951) 699-1145

NPI assigned

Sep 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Khiem Tran, P.T.

Title

Owner

Phone

(949) 274-5342

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1801046529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43500 RIDGE PARK DR",
            "address_2": "SUITE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903624",
            "telephone_number": "949-274-5342",
            "fax_number": "951-699-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 CEDAR AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216602",
            "telephone_number": "949-274-5342",
            "fax_number": "951-699-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHIEM TRAN PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KHIEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-274-5342",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Brea, CA
• Providers in Brea, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.