Healthcare Provider Details

I. General information

NPI: 1205749199
Provider Name (Legal Business Name): RAUL OCHOA PT, DPT
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

998 HAMLIN WAY
LINDSAY CA
93247
US

IV. Provider business mailing address

998 HAMLIN WAY
LINDSAY CA
93247
US

V. Phone/Fax

Practice location:
  • Phone: 559-239-5275
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number304892
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: