Organization
SOUTH PACIFIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CROSS PTA (PHYSICAL THERAPIST ASSISTANT)
15625447274
Entity
Organization
Contact information
Practice address
10425 SOMERSET BLVD, BELLFLOWER, CA 90706-3322
(156) 254-4727
Mailing address
10425 SOMERSET BLVD, BELLFLOWER, CA 90706-3322
(156) 254-4727
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
AT8331
CA
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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