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NPI Code Detail

MEDICARE: NOVER KABAMALAN

MEDICARE: NOVER KABAMALAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist38646CA

General Provider Information

NPI Number : 1023407087
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOVER KABAMALAN
Provider Business Mailing Address
First Line : 260 E MARKET ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-5910
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 260 E MARKET ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90805-5910
Country : US
Telephone Number : 562-428-4681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2015
Last Update Date : 01/14/2015

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Directions to “ NOVER KABAMALAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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