Individual
CHRISTIAN KEKOA ALIVIADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 E MAPLE AVE, EL SEGUNDO, CA 90245-6507
(310) 316-6190
Mailing address
16807 FONTHILL AVE, TORRANCE, CA 90504-1211
(310) 989-0544
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51580
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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