MEDICARE: HECTOR FERIA

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
1	225400000X	Rehabilitation Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	225400000X	OTHER	CA	OTHER

General Provider Information

NPI Number	:	1427441807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HECTOR FERIA

Provider Business Mailing Address
First Line	:	1000 CORPORATE CENTER DR
Second Line	:	#650
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-7600
Country	:	US
Telephone Number	:	323-526-4016
Fax Number	:	323-526-4791

Provider Business Practice Location Address
First Line	:	605 N PARK AVE
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91768-3622
Country	:	US
Telephone Number	:	626-861-3161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2015
Last Update Date	:	03/25/2015

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Directions to “ HECTOR FERIA ” Practice Location

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