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1033633177 NPI number — JUNIOR ARMANDO GARCIA PHYSICAL THERAPIST A

NPI Number: 1033633177
Health Care Provider/Practitioner: JUNIOR ARMANDO GARCIA PHYSICAL THERAPIST A

Information about “1033633177” NPI (JUNIOR ARMANDO GARCIA PHYSICAL THERAPIST A) exists in 1033633177 in HTML format HTML  |  1033633177 in plain Text format TXT  |  1033633177 in PDF (Portable Document Format) PDF  |  1033633177 in an XML format XML  formats.

NPI Number : 1033633177 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033633177",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GARCIA",
    "FirstName": "JUNIOR",
    "MiddleName": "ARMANDO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHYSICAL THERAPIST A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7601 IMPERIAL HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DOWNEY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90242-3456",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-385-6239",
    "MailingAddressFaxNumber": "562-385-6169",
    "FirstLinePracticeLocationAddress": "7601 E IMPERIAL HIGHWAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DOWNEY",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90242",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-385-6239",
    "PracticeLocationAddressFaxNumber": "562-385-6169",
    "EnumerationDate": "07/31/2017",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225200000X",
        "TaxonomyName": "Physical Therapy Assistant",
        "LicenseNumber": "AT9156",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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