Ashley Rendon
Physical Therapist - Sports
2900 Bristol St Ste J104
Costa Mesa
, California 92626-7918
Ashley Rendon
Physical Therapist - Sports
2900 Bristol St Ste J104
Costa Mesa
, California 92626-7918
(949) 386-7511
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Ashley Rendon
- 2900 Bristol St Ste J104
- Costa Mesa, CA
- Zip : 92626-7918
- Fax : (949) 386-7511
- Phone : (949) 386-7500
Second Address
- Ashley Rendon
- 2900 Bristol St Ste J104
- Costa Mesa, CA
- Zip : 92626-7918
- Phone : (949) 386-7500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 300163 | CA |
National Provider Identifier
| NPI | 1265006191 |
|---|---|
| Provider Name | Ashley Rendon |
| First Address | Costa Mesa, CA 92626-7918 |
| Second Address | Costa Mesa, CA 92626-7918 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2021 |
| Last Update Date | 15/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 300163 | LICENSE NUMBER (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.