Martin Jauregui
Rehabilitation Practitioner in Northridge, CA. Individual provider (NPI-1).
NPI number1063001055
StatusActive
Last updated in NPPESJan 13, 2021
Details
- NPI
- 1063001055
- Entity type
- Individual (NPI-1)
- Name
- Martin Jauregui
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 13, 2021
- Certification date
- Jan 13, 2021
- Last updated
- Jan 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
8550 Balboa Blvd Ste 150Northridge, CA 91325-3579
Phone 818-993-9311
Mailing address
9650 Zelzah AveNorthridge, CA 91325-2003
Phone 818-993-9311
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