Individual
AUGUSTINE-JOHN MISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6801 PARK TER, LOS ANGELES, CA 90045-1543
(310) 665-7100
Mailing address
6801 PARK TER STE 200, LOS ANGELES, CA 90045-1546
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50319
CA
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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