Provider Demographics
NPI:1598728479
Name:MEDCESSITY INC.
Entity type:Organization
Organization Name:MEDCESSITY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HANK
Authorized Official - Middle Name:JONATHAN
Authorized Official - Last Name:CHINN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MPT
Authorized Official - Phone:562-428-3556
Mailing Address - Street 1:4010 ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-3717
Mailing Address - Country:US
Mailing Address - Phone:562-428-3556
Mailing Address - Fax:562-428-3621
Practice Address - Street 1:4010 ORANGE AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2374
Practice Address - Country:US
Practice Address - Phone:562-428-3556
Practice Address - Fax:562-428-3621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-10
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00978225000000X, 225X00000X, 225XE1200X, 225XH1300X, 225XN1300X, 225XP0200X
CA236472251G0304X, 2251H1200X, 2251N0400X, 2251S0007X, 2251X0800X, 225100000X
CA978225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic FitterGroup - Multi-Specialty
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHandGroup - Multi-Specialty
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Multi-Specialty
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomicsGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No225XH1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHuman FactorsGroup - Multi-Specialty
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitationGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ08589ZOtherBLUE SHIELD OF CALIFORNIA
CAZZZ08588ZOtherBLUE SHIELD OF CALIFORNIA
CAW17199Medicare UPIN
CAZZZ08588ZOtherBLUE SHIELD OF CALIFORNIA