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NPI Code Detail

MEDICARE: JONARD TAN HAO PT

MEDICARE: JONARD TAN HAO 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 Therapist39749CA
2225100000XPhysical Therapist070-007832IL

General Provider Information

NPI Number : 1720137250
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONARD TAN HAO PT
Provider Business Mailing Address
First Line : 8156 SYLMAR AVE
Second Line :
City : PANORAMA CITY
State : CA
Zip : 91402-5239
Country : US
Telephone Number : 773-320-6556
Fax Number :
Provider Business Practice Location Address
First Line : 8550 BALBOA BLVD STE 242
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91325-3593
Country : US
Telephone Number : 818-894-2273
Fax Number : 818-357-2505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 05/15/2026

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Directions to “ JONARD TAN HAO PT” Practice Location

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