Individual
ALICE MAYORGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5807 UNIVERSITY AVE, SAN DIEGO, CA 92115-6295
(619) 500-1098
Mailing address
1265 THOMAS AVE, SAN DIEGO, CA 92109-4279
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54368
CA
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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