Individual
TEO TODD LIZAN FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2121
Mailing address
343 N VENDOME ST, LOS ANGELES, CA 90026-4525
(213) 925-3600
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40511
CA
Other
Enumeration date
12/19/2017
Last updated
12/07/2021
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