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NPI 1194102004ActiveOrganization· Physical Therapist· San Juan Capistrano, CA
Physical Therapist in San Juan Capistrano, California, registered in NPPES in April 2015. The authorized official on file is Kim Do, Authorized Official.
Overview
| NPI | 1194102004 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 29, 2015 |
| Last updated in NPPES | Apr 29, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT29580 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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