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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INNOVATIVE MEDICINE

Active Organization

INNOVATIVE MEDICINE is a Physical Therapy Assistant organization located in LOS ANGELES, California. NPI 1821494014 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LOS ANGELES, CA

Registration Details

NPI Number
1821494014
Provider Type
Organization
NPI Issued
Nov 14, 2014 (11.761469664477 yrs)
Last Updated
Nov 14, 2014
Licenses
A99205 (CA)
PT40619 (CA)

Practice Information

Address
811 WILSHIRE BLVD
SUITE 110
LOS ANGELES, CA, 900172606
Browse CA providers · Browse ZIP 90017
Phone
2134151990
Fax
2134151940
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.