Healthcare Provider Details

I. General information

NPI: 1528672300
Provider Name (Legal Business Name): BRITTANY KAZANE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY BRYARS DPT

II. Dates (important events)

Enumeration Date: 08/31/2020
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3662 KATELLA AVE STE 105
LOS ALAMITOS CA
90720-3180
US

IV. Provider business mailing address

3662 KATELLA AVE STE 105
LOS ALAMITOS CA
90720-3180
US

V. Phone/Fax

Practice location:
  • Phone: 562-799-4494
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number298687
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: