Individual
JUSTIN MAHINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16403 SPIRIT CT, LA MIRADA, CA 90638-6577
(909) 539-5681
Mailing address
16403 SPIRIT CT, LA MIRADA, CA 90638-6577
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10507
CA
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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