DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JOHN JOSEPH TRAVERS C.P.R.P

MEDICARE: JOHN JOSEPH TRAVERS C.P.R.P
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
1225400000XRehabilitation Practitioner
2175T00000XPeer SpecialistMPSS-CVHTBECA

General Provider Information

NPI Number : 1407975204
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN JOSEPH TRAVERS C.P.R.P
Provider Business Mailing Address
First Line : 2677 ZOE AVE STE 304
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-3699
Country : US
Telephone Number : 323-346-0960
Fax Number :
Provider Business Practice Location Address
First Line : 2677 ZOE AVE STE 304
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-3699
Country : US
Telephone Number : 323-346-0960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 02/15/2026

Similar Medicare Providers

1053438531 — JOLENE KELLY ECCLES
Practice Location Address:
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA
90255-3699
Practice Phone: 323-346-0960
Practice Fax:
1396864856 — MRS. KERRY ELLEN LEONARD LPT, CPRP
Practice Location Address:
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA
90255-3699
Practice Phone: 310-772-9738
Practice Fax:
1831218270 — MR. RUBEN URIBE
Practice Location Address:
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA
90255-3699
Practice Phone: 323-346-0960
Practice Fax: 323-346-0966
1477711042 — KEVIN THORNBURGH
Practice Location Address:
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA
90255-3699
Practice Phone: 323-346-0960
Practice Fax: 323-346-0966
1649420597 — TINA M ENWALL C.P.R.P.
Practice Location Address:
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA
90255-3699
Practice Phone: 323-346-0960
Practice Fax:
1548593395 — DEBBIE HASTINGS
Practice Location Address:
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA
90255-3699
Practice Phone: 323-346-0960
Practice Fax:

Directions to “ JOHN JOSEPH TRAVERS C.P.R.P” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.