Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 295277 | CA |
NPI | 1043790421 |
---|---|
Provider Name | James Mcafee |
First Address | Westlake Village, CA 91361-3548 |
Second Address | Diamond Bar, CA 91765-4002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2018 |
Last Update Date | 15/08/2018 |