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Organization
RANCHO PHYSICAL THERAPY, INC.
Active
Organization
RANCHO PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELA LITT (CREDENTIALING)
(951) 696-9353
Entity
Organization
Contact information
Practice address
30428 HAUN RD STE 810, MENIFEE, CA 92584
(951) 723-1866
(951) 723-1867
Mailing address
30428 HAUN RD STE 810, MENIFEE, CA 92584-6824
(951) 696-9353
(951) 973-7216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396976734
—
CA
01
—
ZZZ05553Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
08/03/2009
Last updated
07/14/2025
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