MICHAEL KWAN THACH (NPI# 1780963215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780963215 |
| Entity Type | Individual |
| Full Name | MICHAEL KWAN THACH |
| Credential | P.T. |
| Practice Address |
22151 Clarendon St Woodland Hills CA 91367-6308 |
| Practice Telephone | 8188844810 |
| Mailing Telephone | 8188844810 |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2019-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
37980 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 68 Willow Rd, Menlo Park, CA 940253653 | 8668396979 |
| Street Address |
22151 CLARENDON ST |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91367-6308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508964685 | Rodney K. Shorey Rehabilitation Services, Inc. | Physical Therapist | 22151 Clarendon St, Woodland Hills, CA 91367-6308 | 2006-09-20 |
| 1326192188 | Karena Lee | Physical Therapist | 22151 Clarendon St, Woodland Hills, CA 91367-6308 | 2007-01-22 |
| 1154420610 | Rodney K Shorey | Physical Therapist | 22151 Clarendon St, Woodland Hills, CA 91367-6308 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837386 | Welby Way Home LLC | Hospice Care, Community Based | 21550 Oxnard St., 3rd Floor Suite # 57, Woodland Hills, CA 91367 | 2020-09-30 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1952952137 | Carol L. Frankel | Technician | 22616 Victory Blvd., Woodland Hills, CA 91367 | 2019-09-27 |
| 1346890191 | Sharie Renell Boudreaux | Behavioral Analyst | 210600 Oxnard St, Suite 1800, Woodland Hills, CA 91367 | 2019-09-13 |
| 1104381631 | Victor Fernando Tovar | Behavior Technician | 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 | 2019-02-08 |
| 1982173076 | Tefany Cheam | Behavioral Analyst | 216000 Oxnard St., Suite 1800, Woodland Hills, CA 91367 | 2018-11-19 |
| 1205301520 | Basso Pharmacy, Inc. | Pharmacy | 5952 & 5954 Fallbrook Avenue, Woodland Hills, CA 91367 | 2018-10-13 |
| 1255813523 | Annemarie Fine | Behavioral Analyst | 21609 Oxnard St Ste 1800, Woodland Hills, CA 91367 | 2018-09-04 |
| 1730661166 | Paige Sefton | Marriage & Family Therapist | 21333 Oxnard St., Woodland Hills, CA 91367 | 2018-09-01 |
| 1073095402 | Rosalia Hernandez | Behavioral Analyst | 21600 Oxnard St Ste, Woodland Hills, CA 91367 | 2018-09-01 |
| Find all providers in zip 91367 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996698 | Bettina Nagy | Physical Therapist | 20265 Ventura Blvd, Woodland Hills, CA 91364-2593 | 2019-08-05 |
| 1851817860 | Desiree Janine Williams | Physical Therapist | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2017-08-22 |
| 1013262302 | Lan Phuong Boehme | Physical Therapist | 23388 Mulholland Dr, Mail Stop 22, Woodland Hills, CA 91364-2733 | 2012-07-23 |
| 1962787713 | Rosette Andreasian | Physical Therapist | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2011-10-12 |
| 1780911719 | Felicia Rene West | Physical Therapist | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2009-11-12 |
| 1003149469 | Timothy Starr | Physical Therapist | 5601 De Soto Ave, Physical Therapy Department, Woodland Hills, CA 91367-6701 | 2009-09-16 |
| 1225252596 | Lucie G. Agopian | Physical Therapist | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-04-11 |
| 1346363348 | Justin Wade Hamilton | Physical Therapist | 5601 De Soto Ave, Kaiser Permanente, Woodland Hills, CA 91365 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
| City | WOODLAND HILLS |
| Zip Code | 91367 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.