Ivanova Guillen
Physical Therapy Assistant
9089 Clairemont Mesa Blvd Suite 200
San Diego
, California 92123-1234
Ivanova Guillen
Physical Therapy Assistant
9089 Clairemont Mesa Blvd Suite 200
San Diego
, California 92123-1234
(626) 261-3941
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Ivanova Guillen
- 3541 Valley Rd Apt 3
- Bonita, CA
- Zip : 91902-4161
- Phone : (626) 261-3941
Second Address
- Ivanova Guillen
- 9089 Clairemont Mesa Blvd Suite 200
- San Diego, CA
- Zip : 92123-1234
- Phone : (800) 787-6787
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | AT10270 | CA |
National Provider Identifier
| NPI | 1003206970 |
|---|---|
| Provider Name | Ivanova Guillen |
| First Address | Bonita, CA 91902-4161 |
| Second Address | San Diego, CA 92123-1234 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2015 |
| Last Update Date | 30/01/2015 |
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.