Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nifty After Fifty - Prospect, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1396949459

Nifty After Fifty - Prospect, LLC is a Physical Medicine & Rehabilitation Physician in Garden Grove, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11021 Brookhurst St Ste A
Garden Grove, CA 92840-1001
Phone: (714) 823-4400
Fax: (714) 823-4404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PT29179 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence PT7788 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence PT11479 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence PT22690 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence PT28267 (CA)

Record details

NPI number1396949459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sheldon Zinberg — Ceo · (714) 823-4400
NPI enumeratedJune 13, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12572 Valley View St, Garden Grove, CA 92845-2006

Other providers in Garden Grove