Runel Kevin Alanes, MPT
Individual provider Active NPI Physical Therapist · Fountain Valley, CA
NPI 1194926352 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194926352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 33558 (CA)
- Practice address
- 17150 San Mateo St
Apt. # D-11
Fountain Valley, CA 92708-3669 - Phone
- (949) 338-4370
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33558 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33558 | CA | Yes |
Addresses
Primary practice location
17150 San Mateo St
Apt. # D-11
Fountain Valley, CA 92708-3669
Mailing address
17150 San Mateo St.
Apt. # D-11
Fountain Valley, CA 92708
Phone (949) 338-4370
Other providers in Fountain Valley, CA
- Dana Mohanned Al-Sayyed
- Alan Dang MD
- Alan Ho, MD, PC
- Alan T. Tran M.D., Inc
- Alan Tran MD Inc
- Sarah Alannouf
- Albert S Lee DO Inc
- Samuel H Albert
- Shlomi Albert
- Albertsons LLC
All providers in Fountain Valley, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.