Ulysses Salonga Baje Jr., B.S., RKT
Individual provider Active NPI Kinesiotherapist · Sepulveda, CA
NPI 1609970276 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609970276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Kinesiotherapist 226300000X
- License
- 1616 (CA)
- Practice address
- 16111 Plummer St
Sepulveda, CA 91343-2036 - Phone
- (818) 891-7711
- NPI assigned
- Sep 12, 2006
- 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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1616 | CA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 1616 | CA | Yes |
Addresses
Primary practice location
16111 Plummer St
Sepulveda, CA 91343-2036
Mailing address
1240 W Arrow Hwy Apt 77
Upland, CA 91786-5064
Phone (909) 608-7577
Other providers in Sepulveda, CA
- Natalie Alcaras
- Kara Ridnour Anders
- Debra Ann Anton
- Lisa Barnett
- William Bateman
- Barbara Mae Bates-Jensen
- Pegah Bazeghi
- Bevanne A Bean-Mayberry
All providers in Sepulveda, CA · Kinesiotherapist 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.