Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner |
NPI | 1053445072 |
---|---|
Provider Name | Mr. Emanuel English SR. |
First Address | Lynwood, CA 90262-4283 |
Second Address | Los Angeles, CA 90018-1838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 14/06/2013 |