Atlas Apique Ang, PT

Individual provider Active NPI Physical Therapist · La Mirada, CA

NPI 1265997233 · NPPES record last updated Feb 4, 2019

Key facts

NPI
1265997233
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
34881 (CA)
Practice address
12903 Ramsey Dr
La Mirada, CA 90638-1746
Phone
(562) 296-7121
NPI assigned
Feb 4, 2019
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

LicenseStateTypeSpecialty
34881CAMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 34881 CA Yes

Addresses

Primary practice location

12903 Ramsey Dr
La Mirada, CA 90638-1746

Mailing address

12903 Ramsey Dr
La Mirada, CA 90638-1746
Phone (562) 296-7121

Other providers in La Mirada, CA

All providers in La Mirada, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.