Organization
B&B PHYSICAL THERAPY, INC
Active
Other names
B&B Physical Therapy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA ESCOBEDO (OFFICE MANAGER)
(661) 753-3404
Entity
Organization
Contact information
Practice address
24355 LYONS AVE STE 100, NEWHALL, CA 91321-2332
(661) 753-3404
(661) 290-2639
Mailing address
24355 LYONS AVE STE 100, NEWHALL, CA 91321-2332
(661) 753-3404
(661) 290-2639
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15886
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200811901
ACS PROVIDER NUMBER
CA
01
—
ZZZ47212Z
BLUE SHIELD PROVIDER
CA
Enumeration date
01/29/2007
Last updated
05/01/2023
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