Organization
CORE CARE PEDIATRIC THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESEOSA B GUOBADIA D.P.T. (OWNER/ DIRECTOR OF SERVICES)
(213) 353-9196
Entity
Organization
Contact information
Practice address
1930 WILSHIRE BLVD, SUITE 1007, LOS ANGELES, CA 90057-3605
(213) 353-9196
(323) 798-4168
Mailing address
3612 BARHAM BLVD, W301, LOS ANGELES, CA 90068-1142
(213) 353-9196
(323) 798-4168
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
33449
CA
Other
Enumeration date
09/04/2009
Last updated
11/01/2010
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