Healthcare Provider Details

I. General information

NPI: 1033684022
Provider Name (Legal Business Name): CALIFORNIA INTEGRATED THERAPY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2018
Last Update Date: 10/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42544 10TH ST W STE G
LANCASTER CA
93534-7079
US

IV. Provider business mailing address

42544 10TH ST W STE G
LANCASTER CA
93534-7079
US

V. Phone/Fax

Practice location:
  • Phone: 661-268-4600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALVARO FERNANDO SANCHEZ
Title or Position: CEO
Credential:
Phone: 805-861-3239