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NPI Code Detail

MEDICARE: MRS. MAI NGO STUDEBAKER D.P.T.

MEDICARE: MRS. MAI NGO STUDEBAKER D.P.T.
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 Therapist25669CA

General Provider Information

NPI Number : 1306884366
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAI NGO STUDEBAKER D.P.T.
Provider Business Mailing Address
First Line : 19032 MAGNOLIA ST
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-2232
Country : US
Telephone Number : 714-968-3003
Fax Number : 714-968-4220
Provider Business Practice Location Address
First Line : 19032 MAGNOLIA ST
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-2232
Country : US
Telephone Number : 714-968-3003
Fax Number : 714-968-4220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. MAI NGO STUDEBAKER D.P.T.” Practice Location

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