Organization Active NPI

Hyena Physical Therapy la, PC

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1902605447
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HYENA PHYSICAL THERAPY LA, PC
Practice address
4610 Valley Blvd # 202
Los Angeles, CA 90032-3857
Phone
(818) 934-0616
NPI assigned
Mar 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
David KimNPI 1679053383
Title
President
Phone
(818) 934-0616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4610 Valley Blvd # 202
Los Angeles, CA 90032-3857

Mailing address

864 Grand Ave
#98
San Diego, CA 92109

Other names 1

  • Hyena Rehab LA Doing business as

National Provider Directory

National Provider Directory

Locations

4610 Valley Blvd
#202
Los Angeles, CA 90032
Phone (818) 783-2396

616 S Westmoreland Ave
#201
Los Angeles, CA 90005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1902605447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "864 GRAND AVE",
            "address_2": "#98",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 VALLEY BLVD # 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900323857",
            "telephone_number": "818-934-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYENA PHYSICAL THERAPY LA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-08",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-934-0616"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyena Rehab LA",
            "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 1, 2026; 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.