Active NPI
Hyena Physical Therapy la, PC
- Physical Therapy Clinic/Center
- Los Angeles, CA
National Provider Identifier
1902605447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Kim
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1679053383
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.