Khiem Banh, PT
Physical Therapist in Monterey Park, CA. Individual provider (NPI-1).
NPI number1245825835
StatusActive
Last updated in NPPESMar 4, 2021
Details
- NPI
- 1245825835
- Entity type
- Individual (NPI-1)
- Name
- Khiem Banh
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 4, 2021
- Certification date
- Mar 4, 2021
- Last updated
- Mar 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 299533 | CA | Yes |
Practice location
201 N Sierra Vista StMonterey Park, CA 91755-1920
Phone 321-662-3069
Mailing address
201 N Sierra Vista StMonterey Park, CA 91755-1920
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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