| Organization Name: | OA MEDICAL GROUP INC |
| NPI Number: | 1992999387 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD P POLLIS (PRESIDENT) |
| Mailing Address: | 1950 Sawtelle Blvd Suite 150 W Los Angeles |
| State: | CA US |
| Postal Code: | 90025 |
| Phone Number: | 3109968500 |
| Fax Number: | 3104458746 |
| NPI Enumeration Date: | 08/29/2007 |
| NPI Last Update Date: | 11/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | G29563 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |