Healthcare Provider Details

I. General information

NPI: 1326861527
Provider Name (Legal Business Name): JOHN HANCOCK GELERT JR. RRT, RPFT, RRT-SDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 ROSECRANS AVE # B-19
BELLFLOWER CA
90706-2246
US

IV. Provider business mailing address

16006 CHELLA DR
HACIENDA HEIGHTS CA
91745-6401
US

V. Phone/Fax

Practice location:
  • Phone: 561-461-4608
  • Fax:
Mailing address:
  • Phone: 626-862-3351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number39449
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: