Individual provider · NPI-1

Ivan Almazan

Specialist/Technologist, Athletic Trainer · Westminster, CA

NPI number1487157244
StatusActive
Last updated in NPPESMar 16, 2018

Details

NPI
1487157244
Entity type
Individual (NPI-1)
Name
Ivan Almazan
Sex
Male
Sole proprietor
No
Enumeration date
Mar 16, 2018
Last updated
Mar 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

13872 Iowa St Apt 5
Westminster, CA 92683-3875

Phone 714-893-9517

Mailing address

13872 Iowa St Apt 5
Westminster, CA 92683-3875

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