Organization
MOMENTUM AGENCIES
Active
Organization
MOMENTUM AGENCIES
Active
Other names
Momentum
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI LEE ANDERSON (PRESIDENT AND CHEF EXECUTIVE OFFICE)
(818) 782-2211
Entity
Organization
Contact information
Practice address
1815 W 213TH ST, SUITE 100, TORRANCE, CA 90501
(310) 328-0276
(310) 328-3094
Mailing address
6430 INDEPENDENCE AVE, WOODLAND HILLS, CA 91367
(818) 782-2211
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GCT000530
CALIF DEPT OF HEALTH SERV
CA
01
—
GPT001530
CALIF DEPT OF HEALTH SERV
CA
Enumeration date
01/24/2007
Last updated
07/29/2022
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