# JOSEPH TERRAZZINO M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669570008
- **Authorized official:** DR. JOSEPH TERRAZZINO M.D. (DIRECT OWNER)
- **Authorized official phone:** (661) 254-0172

## Contact information

- **Practice address:** 23823 VALENCIA BLVD, SUITE 230, VALENCIA, CA 91355-2103
- **Practice address phone:** (661) 254-0172
- **Practice address fax:** (661) 254-0017
- **Mailing address:** P.O. BOX 55115, VALENCIA, CA 91385-0115
- **Mailing address phone:** (661) 254-0172
- **Mailing address fax:** (661) 254-0017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | G75356 | CA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | G75356 | CA | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 04/15/2024