Juan Esquibel

Individual provider Active NPI Rehabilitation Practitioner · Irwindale, CA

NPI 1497083414 · NPPES record last updated Dec 2, 2009

Key facts

NPI
1497083414
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
13001 Ramona Blvd
Irwindale, CA 91706-3752
Phone
(626) 848-1490
NPI assigned
Dec 2, 2009
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

13001 Ramona Blvd
Irwindale, CA 91706-3752

Mailing address

736 Ventura St
Altadena, CA 91001-4967

Other providers in Irwindale, CA

All providers in Irwindale, CA · Rehabilitation Practitioner in California

Sources for this page

Verify at the official NPI Registry.