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NPI Code Detail

MEDICARE: MICHAEL ANDREW TATRAI PT

MEDICARE: MICHAEL ANDREW TATRAI PT
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 TherapistPT18624CA

General Provider Information

NPI Number : 1902922966
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ANDREW TATRAI PT
Provider Business Mailing Address
First Line : 8530 HOLLOWAY DR APT 309
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90069-2477
Country : US
Telephone Number : 310-360-9648
Fax Number : 310-360-9648
Provider Business Practice Location Address
First Line : 120 N ROBERTSON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-3115
Country : US
Telephone Number : 310-854-5949
Fax Number : 310-854-6049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/08/2007

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Directions to “ MICHAEL ANDREW TATRAI PT” Practice Location

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