Individual
JUAN MANDUJANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 E MARKET ST, LONG BEACH, CA 90805
(562) 428-4681
Mailing address
3369 JOSEPHINE STREET, LYNWOOD, CA 90262
(562) 980-0334
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53636
CA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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