Individual
YOGI S MATHARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
1640 MARENGO ST, HRA-102, LOS ANGELES, CA 90033-1036
(323) 224-7070
(323) 224-5359
Mailing address
1640 MARENGO ST, HRA-102, LOS ANGELES, CA 90033-1036
(323) 224-7070
(323) 224-5359
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT23615
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT23615
BLUE SHIELD
CA
Enumeration date
02/05/2007
Last updated
07/08/2007
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