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NPI Code Detail

MEDICARE: ANNITA REUBEN

MEDICARE:   ANNITA  REUBEN
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 Therapist37096CA

General Provider Information

NPI Number : 1922346279
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNITA REUBEN
Provider Business Mailing Address
First Line : 6320 COMMODORE SLOAT DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-5453
Country : US
Telephone Number : 323-935-3420
Fax Number : 323-935-5933
Provider Business Practice Location Address
First Line : 6320 COMMODORE SLOAT DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-5453
Country : US
Telephone Number : 323-935-3420
Fax Number : 323-935-5933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2013
Last Update Date : 01/22/2013

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Directions to “ ANNITA REUBEN ” Practice Location

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