Individual
KEVIN CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 MAIN ST, EL SEGUNDO, CA 90245-3814
(310) 648-3167
Mailing address
6722 SANTA FE AVE, HUNTINGTON PARK, CA 90255-3904
(323) 817-8200
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
CA
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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