Organization
HEALTHCORE PHYSICAL THERAPY
Active
Organization
HEALTHCORE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN SAMUELIAN (PRESIDENT)
(949) 650-0736
Entity
Organization
Contact information
Practice address
1617 WESTCLIFF DR, SUITE 205, NEWPORT BEACH, CA 92660-5524
(949) 650-0736
Mailing address
1617 WESTCLIFF DR, SUITE 205, NEWPORT BEACH, CA 92660-5524
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 33412
CA
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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