Provider Demographics
NPI:1063967636
Name:HIGH FIVE HAND THERAPY AND REHABILITATION INC.
Entity type:Organization
Organization Name:HIGH FIVE HAND THERAPY AND REHABILITATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CHT
Authorized Official - Phone:213-905-0449
Mailing Address - Street 1:9828 GARDEN GROVE BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-1655
Mailing Address - Country:US
Mailing Address - Phone:213-905-0449
Mailing Address - Fax:
Practice Address - Street 1:9828 GARDEN GROVE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-1655
Practice Address - Country:US
Practice Address - Phone:213-905-0449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10983261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB247223Medicare PIN