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Organization
KNT PHYSICAL THERAPY INC.
Active
Organization
KNT PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOUROSH SOLIMAN TEHRANI PT (PRESIDENT)
(310) 550-8585
Entity
Organization
Contact information
Practice address
9001 WILSHIRE BLVD, 102, BEVERLY HILLS, CA 90211-1838
(310) 550-8585
(310) 860-0506
Mailing address
9001 WILSHIRE BLVD, 102, BEVERLY HILLS, CA 90211-1838
(310) 550-8585
(310) 860-0506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18513
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
675803
UNITED HEALTH CARE
CA
01
—
ZZZ06500Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
01/24/2007
Last updated
10/25/2011
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