Individual
MR. GANESH JIALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1020 TERMINO AVE, LONG BEACH, CA 90804-4123
(562) 433-6791
Mailing address
70 PALATINE APT 408, IRVINE, CA 92612-7666
(530) 400-4637
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
CA
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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