Healthcare Provider Details

I. General information

NPI: 1275194219
Provider Name (Legal Business Name): JOSE MIGUEL NAVARRO ALMARIO PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 12/01/2021
Certification Date: 12/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8354 SANTA MONICA BLVD
WEST HOLLYWOOD CA
90069-4313
US

IV. Provider business mailing address

2982 S ROBERTSON BLVD
LOS ANGELES CA
90034-3124
US

V. Phone/Fax

Practice location:
  • Phone: 323-831-2455
  • Fax:
Mailing address:
  • Phone: 410-591-5874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT61115254
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number295585
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: