Individual
MR. ALVIN LAZARO BANZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2427 GRAMERCY AVE, TORRANCE, CA 90501-4445
(310) 328-1084
Mailing address
2427 GRAMERCY AVE, TORRANCE, CA 90501-4445
(310) 328-1084
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24628
CA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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