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NPI Code Detail

MEDICARE: JOSEPH LEGASPI YANGCO PT

MEDICARE: JOSEPH LEGASPI YANGCO PT
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 Therapist36295CA

General Provider Information

NPI Number : 1497220990
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH LEGASPI YANGCO PT
Provider Business Mailing Address
First Line : 8711 WINTERFEST WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-1295
Country : US
Telephone Number : 415-244-7744
Fax Number :
Provider Business Practice Location Address
First Line : 442 E HAMPTON ST
Second Line :
City : STOCKTON
State : CA
Zip : 95204-5519
Country : US
Telephone Number : 209-466-0456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2018
Last Update Date : 10/10/2018

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