Individual
MR. IAN VERGEL R PAMINTUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
28631 S WESTERN AVE, SUITE 104A, RANCHO PALOS VERDES, CA 90275-0816
(310) 548-5444
(310) 548-8444
Mailing address
28631 S WESTERN AVE, SUITE 104A, RANCHO PALOS VERDES, CA 90275-0816
(310) 548-5444
(310) 548-8444
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48228
CA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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