Individual
BETHANY SAHAGUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 CALLE AMANECER, SAN CLEMENTE, CA 92673-6214
(949) 498-5100
Mailing address
19015 CERRO VILLA DR, VILLA PARK, CA 92861-2332
(951) 901-5369
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54222
CA
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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