Organization
A&G HEALTH SERVICES INC
Active
Other names
Welltone Aquatic & Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO A MARCIANO (OWNER)
(949) 770-6022
Entity
Organization
Contact information
Practice address
14708 HAWTHORNE BLVD, LAWNDALE, CA 90260-1523
(310) 676-4151
(310) 676-4169
Mailing address
24 HAMMOND STE C, IRVINE, CA 92618-1680
(949) 770-6022
(949) 770-7084
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W18080B
MEDICARE GROUP NUMBER
CA
Enumeration date
10/27/2007
Last updated
10/27/2007
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