Organization
SOCAL PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONGWON YOSUP JAHNG D.P.T., L.A.C (CHIEF EXECUTIVE OFFICER)
(661) 254-0488
Entity
Organization
Contact information
Practice address
27616 NEWHALL RANCH RD, SUITE 35, VALENCIA, CA 91355-3482
(661) 254-0488
(661) 254-0490
Mailing address
26114 SALINGER LN, STEVENSON RANCH, CA 91381-1107
(661) 254-0488
(661) 254-0490
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC11597
CA
261QP2000X
Physical Therapy Clinic/Center
Primary
PT28833
CA
Other
Enumeration date
01/06/2009
Last updated
12/16/2011
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