Individual
MR. JESUS PANTOJA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11627 TELEGRAPH RD, SUITE 105, SANTA FE SPRINGS, CA 90670-3693
(562) 948-4004
Mailing address
7424 KENGARD AVE, WHITTIER, CA 90606-2437
(323) 633-3971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5738
CA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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