Organization
HOMEWORKS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN MARK CHIPOURAS DPT, MPT, MS, BS (PRESIDENT/CFO)
(323) 806-9096
Entity
Organization
Contact information
Practice address
2012 PHALAROPE CT, COSTA MESA, CA 92626-4734
(714) 580-2868
(714) 241-1007
Mailing address
2012 PHALAROPE CT, COSTA MESA, CA 92626-4734
(714) 580-2868
(714) 241-1007
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT29077
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548345960
PERSONAL NPI
CA
Enumeration date
06/03/2008
Last updated
04/20/2023
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