Individual
JUAN CARLOS TRANCOSO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9541 VAN NUYS BLVD, PANORAMA CITY, CA 91402-1315
(818) 893-6385
Mailing address
9541 VAN NUYS BLVD, PANORAMA CITY, CA 91402-1397
(818) 893-6385
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48820
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
CA
Enumeration date
01/24/2019
Last updated
01/24/2019
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