Whalio Doctors

NPI 1396949459

Nifty After Fifty - Prospect, LLC

Organisation Physical Medicine & Rehabilitation Physician Garden Grove, CA

Practice location

Address
11021 Brookhurst St Suite a, Garden Grove, CA 92840-1001
Phone
(714) 823-4400
Fax
(714) 823-4404
Mailing address
12572 Valley View St, Garden Grove, CA 92845-2006

Authorised official

Name
Sheldon S. Zinberg
Title
Ceo
Phone
(714) 823-4400

Registered specialties (5)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PT29179 (CA)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PT7788 (CA)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PT11479 (CA)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PT22690 (CA)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PT28267 (CA)

Registry record

NPI
1396949459
Entity type
Organization
NPI issued
13 Jun 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.