Jose Alfredo Calderon Herrera
Rehabilitation Practitioner in Garden Grove, CA. Individual provider (NPI-1).
NPI number1942964077
StatusActive
Last updated in NPPESJul 21, 2025
Details
- NPI
- 1942964077
- Entity type
- Individual (NPI-1)
- Name
- Jose Alfredo Calderon Herrera
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2021
- Certification date
- Jul 21, 2025
- Last updated
- Jul 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | CA | Yes |
Practice location
12141 Brookhurst St Ste 101Garden Grove, CA 92840-2865
Phone 714-296-1934
Mailing address
12141 Brookhurst St Ste 101Garden Grove, CA 92840-2865
Phone 714-296-1934
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All 32 Rehabilitation Practitioner providers in Garden Grove · All 5,773 providers in Garden Grove
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