Organization
BASE TRAINING AND PHYSICAL THERAPY A CALIFORNIA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNG KIM (CEO, OWNER)
(818) 386-8070
Entity
Organization
Contact information
Practice address
17207 VENTURA BLVD STE 4, ENCINO, CA 91316-4035
(818) 386-8070
Mailing address
17207 VENTURA BLVD STE 4, ENCINO, CA 91316-4035
(818) 386-8070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
33851
CA
Other
Enumeration date
06/10/2014
Last updated
08/05/2024
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