Randy Allen Herrera Hondo in Carson - Physical Therapist

Randy Allen Herrera Hondo - NPI 1386751816

Randy Allen Herrera Hondo is a Physical Therapist in Carson, California. Randy Allen Herrera Hondo practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Randy Allen Herrera Hondo is 1386751816. The last update date is 2021-12-13.

Randy Allen Herrera Hondo's current location address is 149 W Desford St, Carson, California. You can contact this provider via phone number 7144240290 and fax number 7144240278. The mailing address for Randy Allen Herrera Hondo is 149 W Desford St, Carson, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy Allen Herrera Hondo
Address 149 W Desford St, Carson, California
Phone Number 7144240290
Fax Number 7144240278
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1386751816
Provider Enumeration Date 2006-08-23
Last Updated Date 2021-12-13

Provider Mailing Address Detail

Address 149 W Desford St
City Carson
State California (CA)
Post Code 907451412
Phone Number 7144240290
Fax Number 7144240278

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT24918
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PT24918 CA PHYSICAL THERAPY LICENSE

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FAQs about Randy Allen Herrera Hondo

What is the Randy Allen Herrera Hondo's unique identification number?

The Randy Allen Herrera Hondo has been assigned the NPI (National Provider Identifier) Number 1386751816 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Randy Allen Herrera Hondo?

The Randy Allen Herrera Hondo is physically situated at 149 W Desford St, in the city of Carson, state of CA, with the postal code 907451412.

What is the Randy Allen Herrera Hondo's area of specialization and corresponding taxonomy classification?

The Randy Allen Herrera Hondo's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.

On what date did the Randy Allen Herrera Hondo receive the assignment of its 1386751816 from the Centers for Medicare & Medicaid Services?

The Randy Allen Herrera Hondo was issued its 1386751816 by the Centers for Medicare & Medicaid Services on 2006-08-23.

As of what date were the Randy Allen Herrera Hondo's details last updated?

The information pertaining to the Randy Allen Herrera Hondo, including its address, specialty, and other details, was most recently updated on 2021-12-13.

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