Healthcare Provider Details

I. General information

NPI: 1619131091
Provider Name (Legal Business Name): JOE BARRY CIMAFRANCA R.P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 07/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12200 BELLFLOWER BLVD
DOWNEY CA
90242-2804
US

IV. Provider business mailing address

10000 IMPERIAL HWY APT E223
DOWNEY CA
90242-3286
US

V. Phone/Fax

Practice location:
  • Phone: 562-622-4111
  • Fax:
Mailing address:
  • Phone: 562-381-2389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT33859
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: