Organization
BONNIE CARDENAS & ASSOCIATES PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY SACCIO (BILLING MANAGER)
(818) 528-7411
Entity
Organization
Contact information
Practice address
5359 BALBOA BLVD # A, ENCINO, CA 91316-2803
(818) 506-7821
(818) 506-6722
Mailing address
4924 BALBOA BLVD BOX #475, ENCINO, CA 91316-3402
(818) 506-7821
(818) 506-6722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6807
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ03164Z
BLUE SHIELD
CA
Enumeration date
02/09/2006
Last updated
07/21/2022
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