Alfonso Laval Ballard

Individual provider Active NPI Physical Therapist · Artesia, CA

NPI 1467159889 · NPPES record last updated Feb 15, 2023

Key facts

NPI
1467159889
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
18717 Corby Ave
Artesia, CA 90701-5623
Phone
(805) 401-4853
NPI assigned
Feb 15, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Men'S Handy Care Home Assistant Group LLC. Physical Therapist Current
since Feb 19, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

18717 Corby Ave
Artesia, CA 90701-5623

Mailing address

18717 Corby Ave
Artesia, CA 90701-5623
Phone (805) 401-4853

Other practice location 1

18717 Corby Ave
Artesia, CA 90701-5623
Phone (805) 401-4853

Other providers in Artesia, CA

All providers in Artesia, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.