Individual
JOHAN SANGALANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 LAMPSON AVE, SEAL BEACH, CA 90740-2797
(562) 594-5788
Mailing address
7789 JACKSON WAY, BUENA PARK, CA 90620-3957
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4705
CA
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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