Individual
LEONOR ISAMAR VACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12219 ALVARO ST, LOS ANGELES, CA 90059-3225
(323) 336-5011
Mailing address
12219 ALVARO ST, LOS ANGELES, CA 90059-3225
(323) 336-5011
(323) 336-5011
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54348
CA
Other
Enumeration date
11/17/2025
Last updated
11/19/2025
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