Organization
A LIST THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINA S HANNA DPT (CEO)
(909) 262-8691
Entity
Organization
Contact information
Practice address
6677 SANTA MONICA BLVD APT 4616, LOS ANGELES, CA 90038-1992
(323) 943-7300
Mailing address
7125 AMETHYST AVE APT 2302, RANCHO CUCAMONGA, CA 91701-6451
(909) 262-8691
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619480126
—
CA
Enumeration date
05/07/2021
Last updated
05/07/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us