Teo Todd Lizan Flores
Clinic/Center, Physical Therapy in Los Angeles, CA. Individual provider (NPI-1).
NPI number1861908451
StatusActive
Last updated in NPPESDec 7, 2021
Details
- NPI
- 1861908451
- Entity type
- Individual (NPI-1)
- Name
- Teo Todd Lizan Flores
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2017
- Certification date
- Dec 7, 2021
- Last updated
- Dec 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 40511 | CA | Yes |
Practice location
1225 Wilshire BlvdLos Angeles, CA 90017-1901
Phone 213-977-2121
Mailing address
343 N Vendome StLos Angeles, CA 90026-4525
Phone 213-925-3600
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