Individual
RAFAEL PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8507 COSTELLO AVE, PANORAMA CITY, CA 91402-3726
(818) 730-8049
Mailing address
8507 COSTELLO AVE, PANORAMA CITY, CA 91402-3726
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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