Dr. Ivan Emiel Alegado, PT, DPT
Physical Therapist in Mission Viejo, CA. Individual provider (NPI-1).
NPI number1659854651
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1659854651
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ivan Emiel Alegado
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2018
- Certification date
- Nov 18, 2022
- Last updated
- Nov 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 303119 | CA | Yes |
| 106S00000X | Behavior Technician | 18-64872 | CA |
Practice location
26302 La Paz Rd Ste 105Mission Viejo, CA 92691-5327
Phone 949-206-1700
Mailing address
26302 La Paz Rd Ste 105Mission Viejo, CA 92691-5327
Phone 949-206-1700
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