Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 13211 | CA |
NPI | 1336564392 |
---|---|
Provider Name | Dr. John Lien Margetis |
First Address | Los Angeles, CA 90027-5236 |
Second Address | Los Angeles, CA 90027-5236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2014 |
Last Update Date | 14/10/2015 |