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Organization
ISHCORP ENTERPRISES
Active
Organization
ISHCORP ENTERPRISES
Active
Other names
Synergy Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID K. ISHII MPT (OWNER/PHYSICAL THERAPIST)
(714) 596-0700
Entity
Organization
Contact information
Practice address
7451 WARNER AVE, STE. A, HUNTINGTON BEACH, CA 92647-5494
(714) 596-0700
(714) 596-0774
Mailing address
7451 WARNER AVE, STE. A, HUNTINGTON BEACH, CA 92647-5494
(714) 596-0700
(714) 596-0774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ64802Z
BLUE SHIELD
CA
Enumeration date
07/22/2006
Last updated
04/27/2018
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