Active NPI
Song Vo, PT, DPT
- Physical Therapist
- West Hollywood, CA
National Provider Identifier
1942661285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 298510
- Practice address
- 8700 Beverly Blvd # 2900a
West Hollywood, CA 90048-1804 - Phone
- (800) 233-2771
- NPI assigned
- Mar 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 15-02320 | NV | |
| Physical Therapist | 225100000X | 298510 | CA | Primary |
Addresses
Primary practice location
8700 Beverly Blvd # 2900a
West Hollywood, CA 90048-1804
Mailing address
14773 Palmera CT
Baldwin Park, CA 91706-3446
Phone (714) 548-5986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-02320 | NV | MD | Behavioral Analyst |
| 298510 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1942661285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14773 PALMERA CT",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063446",
"telephone_number": "714-548-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD # 2900A",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900481804",
"telephone_number": "800-233-2771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VO",
"first_name": "SONG",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-15",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "15-02320",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "298510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.