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

Southside Physical Therapy and Sports Center

Organization Physical Therapist · NPI 1174891980

Southside Physical Therapy and Sports Center is a Physical Therapist in Huntington Beach, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

22311 Brookhurst St Ste 104
Huntington Beach, CA 92646-8458
Phone: (714) 965-2222
Fax: (714) 965-2224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT26966 (CA)

Record details

NPI number1174891980
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Carlos — President · (714) 965-2222
NPI enumeratedDecember 7, 2011
Last updated in NPPESDecember 7, 2011
Mailing address22311 Brookhurst St Ste 104, Huntington Beach, CA 92646-8458

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