Jacquelyn M Dylla in Los Angeles - Orthopedic
Jacquelyn M Dylla - NPI 1649395997
Jacquelyn M Dylla is a Orthopedic in Los Angeles, California. Jacquelyn M Dylla practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Jacquelyn M Dylla is 1649395997. The last update date is 2007-07-08.
Jacquelyn M Dylla's current location address is 1640 Marengo St, Los Angeles, California. You can contact this provider via phone number 2138212559 and fax number 2138211499. The mailing address for Jacquelyn M Dylla is 1640 Marengo St, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jacquelyn M Dylla |
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Address | 1640 Marengo St, Los Angeles, California |
Phone Number | 2138212559 |
Fax Number | 2138211499 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1649395997 |
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Provider Enumeration Date | 2007-03-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1640 Marengo St |
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City | Los Angeles |
State | California (CA) |
Post Code | 900331036 |
Phone Number | 2138212559 |
Fax Number | 2138211499 |
Provider's Primary Taxonomy Detail
Speciality | Orthopedic |
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Taxonomy | 2251X0800X |
Licence No | PT19562 |
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 |
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PT19562 | CA | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Jacquelyn M Dylla by the Centers for Medicare & Medicaid Services (CMS)?
The Jacquelyn M Dylla has been assigned the NPI (National Provider Identifier) 1649395997. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jacquelyn M Dylla is located?
The Jacquelyn M Dylla is situated at the following address: 1640 Marengo St, Los Angeles, CA, 900331036.
What is Jacquelyn M Dylla's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacquelyn M Dylla's area of specialization is Orthopedic, and the corresponding taxonomy code that categorizes this field of practice is 2251X0800X.
When was the Jacquelyn M Dylla's 1649395997 issued?
The Jacquelyn M Dylla's 1649395997 was issued on 2007-03-19.
As of what date was the information regarding Jacquelyn M Dylla, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jacquelyn M Dylla, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA