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NPI Code Detail

MEDICARE: MR. DANNY DEMBY NORRDIN MPT

MEDICARE: MR. DANNY DEMBY NORRDIN MPT
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 TherapistPT30311CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1W12026OTHERCAGROUP PTAN

General Provider Information

NPI Number : 1225197114
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANNY DEMBY NORRDIN MPT
Provider Business Mailing Address
First Line : 6699 ALVARADO RD
Second Line : SUITE 2100
City : SAN DIEGO
State : CA
Zip : 92120-5238
Country : US
Telephone Number : 858-793-7860
Fax Number :
Provider Business Practice Location Address
First Line : 4010 SORRENTO VALLEY BLVD
Second Line : SUITE 300
City : SAN DIEGO
State : CA
Zip : 92121-1432
Country : US
Telephone Number : 858-793-7876
Fax Number : 858-436-1289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 04/19/2011

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