Individual provider · NPI-1
Jovel Hernandez Angeles, PT
Physical Therapist · Diamond Bar, CA
NPI number1194997080
StatusActive
Last updated in NPPESMar 31, 2008
Details
- NPI
- 1194997080
- Entity type
- Individual (NPI-1)
- Name
- Jovel Hernandez Angeles
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2008
- Last updated
- Mar 31, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | pt19943 | CA | Yes |
Practice location
402 S Prospectors RdSuite E
Diamond Bar, CA 91765-1618
Phone 909-860-5382 · Fax 909-860-5384
Mailing address
402 S Prospectors RdSuite E
Diamond Bar, CA 91765-1618
Phone 909-860-5382 · Fax 909-860-5384
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