Healthcare Provider Details

I. General information

NPI: 1124963491
Provider Name (Legal Business Name): NUNZIA EGIZII MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7830 7TH ST
DOWNEY CA
90241-2210
US

IV. Provider business mailing address

7830 7TH ST
DOWNEY CA
90241-2210
US

V. Phone/Fax

Practice location:
  • Phone: 562-858-4627
  • Fax:
Mailing address:
  • Phone: 562-858-4627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number25531
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: