Individual
GISSELLE FAMOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 S STATE COLLEGE BLVD, BREA, CA 92821-5834
(714) 577-5400
Mailing address
120 S STATE COLLEGE BLVD, BREA, CA 92821-5834
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
10/27/2023
Last updated
07/18/2025
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