Individual
LORI MICHI GINOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1640 MARENGO ST STE 102, LOS ANGELES, CA 90033-1061
(323) 865-1200
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-1200
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
32984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32984
PT LICENSE
CA
Enumeration date
06/18/2007
Last updated
11/27/2023
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