Individual
EDWIN KENNETH LEGARRETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6931 VAN NUYS BLVD, 2ND FLOOR, VAN NUYS, CA 91405-3937
(818) 909-5870
(818) 909-9980
Mailing address
20159 COHASSET ST, WINNETKA, CA 91306-2961
(818) 267-4241
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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