| Dstrkt LLC | |
|
19851 Nordhoff Pl Ste 104 Chatsworth CA 91311-6616 | |
| (818) 245-5008 | |
| Not Available |
| Full Name | Dstrkt LLC |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 19851 Nordhoff Pl Ste 104, Chatsworth, California |
| Authorized Official Name and Position | Roy Paras (OWNER/DIRECTOR) |
| Authorized Official Contact | 8182455008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dstrkt LLC 19851 Nordhoff Pl Ste 104 Chatsworth CA 91311-6616 Ph: (818) 245-5008 | Dstrkt LLC 19851 Nordhoff Pl Ste 104 Chatsworth CA 91311-6616 Ph: (818) 245-5008 |
| NPI Number | 1245834381 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245834381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | () | Primary |
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