| Organization Name: | TOTAL CARE PHYSICAL THERAPY INC. |
| NPI Number: | 1831441054 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MYUNGJIN KIM (PT/CEO) |
| Mailing Address: | 12139 Mount Vernon Ave Ste 110 Grand Terrace |
| State: | CA US |
| Postal Code: | 923135500 |
| Phone Number: | 9093703396 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2012 |
| NPI Last Update Date: | 10/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 29866 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |