Organization
LIDDY HEALTH WORKS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LIDDY DC (PRESIDENT)
(714) 547-3346
Entity
Organization
Contact information
Practice address
606 WESTMOUNT DR, WEST HOLLYWOOD, CA 90069-5108
(714) 547-3346
(714) 547-3252
Mailing address
606 WESTMOUNT DR, WEST HOLLYWOOD, CA 90069-5108
(714) 547-3346
(714) 547-3252
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
DC16468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A5886
LICENSE
CA
01
—
DC16468
LICENSE
CA
01
—
G05890
UPIN
CA
01
—
T18342
UPIN
CA
Enumeration date
07/25/2007
Last updated
07/25/2007
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