Healthcare Provider Details

I. General information

NPI: 1053273102
Provider Name (Legal Business Name): CAMILA RONDON SWEENEY PT, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAMILA RONDON DO PRADO GUIMAAES PT, MS

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E YALE LOOP STE 201
IRVINE CA
92604-4697
US

IV. Provider business mailing address

3230 E IMPERIAL HWY STE 100
BREA CA
92821-6735
US

V. Phone/Fax

Practice location:
  • Phone: 949-256-2442
  • Fax: 949-265-2448
Mailing address:
  • Phone: 714-256-5074
  • Fax: 714-256-0770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number308993
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: