Susan Mais-Requejo in Long Beach - Orthopedic
Susan Mais-Requejo - NPI 1730383506
Susan Mais-Requejo is a Orthopedic in Long Beach, California. Susan Mais-Requejo practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Susan Mais-Requejo is 1730383506. The last update date is 2014-04-30.
Susan Mais-Requejo's current location address is 2819 Josie Ave, Long Beach, California. You can contact this provider via phone number 5627433761 and fax number 5964963628. The mailing address for Susan Mais-Requejo is 2819 Josie Ave, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Mais-Requejo |
|---|---|
| Address | 2819 Josie Ave, Long Beach, California |
| Phone Number | 5627433761 |
| Fax Number | 5964963628 |
| Sole Proprietor | Y |
| Credentials | D.P.T. |
NPI Number Detail
| NPI Number | 1730383506 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2014-04-30 |
Provider Mailing Address Detail
| Address | 2819 Josie Ave |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908151515 |
| Phone Number | 5627433761 |
| Fax Number | 5964963628 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | PT18717 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT181717 | CA | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan Mais-Requejo by the Centers for Medicare & Medicaid Services?
The Susan Mais-Requejo has been issued the NPI (National Provider Identifier) 1730383506, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Susan Mais-Requejo located?
The Susan Mais-Requejo is located at 2819 Josie Ave, Long Beach, CA 908151515.
What is Susan Mais-Requejo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan Mais-Requejo is Orthopedic, and the taxonomy classification code that categorizes this area of expertise is 2251X0800X.
On what date did the Susan Mais-Requejo receive its 1730383506 assignment from the Centers for Medicare & Medicaid Services?
The Susan Mais-Requejo was assigned its 1730383506 by the Centers for Medicare & Medicaid Services on 2007-06-13.
As of what date was the information pertaining to Susan Mais-Requejo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan Mais-Requejo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-04-30.