Provider Demographics
NPI:1477024925
Name:AWARE LLC
Entity type:Organization
Organization Name:AWARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:OJHA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:650-804-0350
Mailing Address - Street 1:3559 MT DIABLO BLVD STE 151
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-8302
Mailing Address - Country:US
Mailing Address - Phone:650-804-0350
Mailing Address - Fax:
Practice Address - Street 1:3330 ST MARYS RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-5149
Practice Address - Country:US
Practice Address - Phone:650-804-0350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty