Provider Demographics
NPI:1063620284
Name:HEBER K. CHUANG, PHYSICAL THERAPIST, INC.
Entity type:Organization
Organization Name:HEBER K. CHUANG, PHYSICAL THERAPIST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HEBER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUANG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:626-616-6046
Mailing Address - Street 1:45 E COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-2815
Mailing Address - Country:US
Mailing Address - Phone:626-616-6046
Mailing Address - Fax:626-447-9213
Practice Address - Street 1:45 E COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2815
Practice Address - Country:US
Practice Address - Phone:626-616-6046
Practice Address - Fax:626-447-9213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 25645225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty