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NPI Code Detail

MEDICARE: RJ WELLNESS CARE SERVICES LLC

MEDICARE: RJ WELLNESS CARE SERVICES LLC
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
1225700000XMassage Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1417530627
Entity Type Code : Organization
Provider Name (Legal Business Name) : RJ WELLNESS CARE SERVICES LLC
Provider Business Mailing Address
First Line : 9446 RALPH ST
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-2111
Country : US
Telephone Number : 323-880-9938
Fax Number :
Provider Business Practice Location Address
First Line : 3756 WEST AVE 40 STE 2B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90065-3667
Country : US
Telephone Number : 323-880-9938
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : JENNY GADIA
Credential : PHYSICAL THERAPIST
Telephone Number : 323-880-9938
Provider Enumeration Date : 05/04/2021
Last Update Date : 05/04/2021

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Directions to “RJ WELLNESS CARE SERVICES LLC ” Practice Location

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