# ALPHA REHAB CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720381635
- **Authorized official:** DUNCAN HWAN CHANG PT (PRESIDENT)
- **Authorized official phone:** (323) 732-3232

## Contact information

- **Practice address:** 3130 W OLYMPIC BLVD, STE 280, LOS ANGELES, CA 90006-2484
- **Practice address phone:** (323) 732-3232
- **Practice address fax:** (323) 843-9594
- **Mailing address:** 3130 W OLYMPIC BLVD, STE 280, LOS ANGELES, CA 90006-2484
- **Mailing address phone:** (323) 732-3232
- **Mailing address fax:** (323) 843-9594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT21950 | CA | Yes |

## Other

- **Enumeration date:** 12/15/2010
- **Last updated:** 03/19/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PT21950 | PHYSICAL THERAPIST LICENSE | CA |
