Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1003291345 |
---|---|
Provider Name | Hector Almazan |
First Address | Los Angeles, CA 90026-4641 |
Second Address | Los Angeles, CA 90026-4641 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2015 |
Last Update Date | 28/02/2019 |