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NPI Code Detail

MEDICARE: DR. JAMES AQUINO PT, DPT

MEDICARE: DR. JAMES AQUINO PT, DPT
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 Therapist291262CA

General Provider Information

NPI Number : 1699136879
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES AQUINO PT, DPT
Provider Business Mailing Address
First Line : 1200 WILSHIRE BLVD STE 401
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1919
Country : US
Telephone Number : 213-481-1515
Fax Number :
Provider Business Practice Location Address
First Line : 1200 WILSHIRE BLVD STE 401
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1919
Country : US
Telephone Number : 213-481-1515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2016
Last Update Date : 04/09/2022

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