Jill Masutomi is a Pediatrics in South Pasadena, California. Jill Masutomi practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jill Masutomi is 1568591154. The last update date is 2007-07-08.
Jill Masutomi's current location address is 1420 Oak St, South Pasadena, California. You can contact this provider via phone number 6264031664. The mailing address for Jill Masutomi is 1420 Oak St, South Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill Masutomi |
|---|---|
| Address | 1420 Oak St, South Pasadena, California |
| Phone Number | 6264031664 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.P.T. |
NPI Number Detail
| NPI Number | 1568591154 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1420 Oak St |
|---|---|
| City | South Pasadena |
| State | California (CA) |
| Post Code | 910304459 |
| Phone Number | 6264031664 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 29528 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Post Comment/ Review Below
What is the unique identifier code issued to Jill Masutomi by the Centers for Medicare & Medicaid Services (CMS)?
The Jill Masutomi has been assigned the NPI (National Provider Identifier) 1568591154. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jill Masutomi's facilities are situated?
The facilities of Jill Masutomi are physically located at the following address: 1420 Oak St, South Pasadena, CA, 910304459.
What is the Jill Masutomi's area of specialization and corresponding taxonomy classification?
The Jill Masutomi's specialty field is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their specialties.
When was the Jill Masutomi's 1568591154 issued?
The Jill Masutomi's 1568591154 was issued on 2007-03-02.
As of what date were the Jill Masutomi's details last updated?
The information pertaining to the Jill Masutomi, including its address, specialty, and other details, was most recently updated on 2007-07-08.