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NPI Code Detail

MEDICARE: ARMANDO LAQUI PASCO ,JR. P.T.

MEDICARE: ARMANDO LAQUI PASCO ,JR. P.T.
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 Therapist17471CA

General Provider Information

NPI Number : 1952665077
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARMANDO LAQUI PASCO ,JR. P.T.
Provider Business Mailing Address
First Line : 27136 PASEO ESPADA STE B1103
Second Line :
City : SAN JUAN CAPISTRANO
State : CA
Zip : 92675-2737
Country : US
Telephone Number : 949-429-3220
Fax Number : 949-429-3885
Provider Business Practice Location Address
First Line : 12832 GARDEN GROVE BLVD STE B
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92843-2014
Country : US
Telephone Number : 714-467-0293
Fax Number : 714-467-0298
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2012
Last Update Date : 08/01/2012

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