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NPI Code Detail

MEDICARE: GHEITH JAMIL EFFARAH PHYSICAL THERAPIST

MEDICARE:   GHEITH JAMIL EFFARAH  PHYSICAL THERAPIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist15944CA

General Provider Information

NPI Number : 1194025460
Entity Type Code : Individual
Provider Name (Legal Business Name) : GHEITH JAMIL EFFARAH PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 740 S PLACENTIA AVE STE 200
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-6832
Country : US
Telephone Number : 714-336-2110
Fax Number :
Provider Business Practice Location Address
First Line : 774 S PLACENTIA AVE STE 200
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-6838
Country : US
Telephone Number : 714-336-2110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2010
Last Update Date : 10/10/2024

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Directions to “ GHEITH JAMIL EFFARAH PHYSICAL THERAPIST” Practice Location

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