Doctor Name: | MR. EDWIN ENRIQUE TINOCO |
NPI Number: | 1114144250 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT, OCS, A.T.C |
License Number: | PT 30347 |
Business Practice Address: | 15200 W Sunset Blvd Suite 111 Pacific Palisades, CA - 902723619 |
Business Phone Number: | 3105739340 |
Business Fax Number: | 3195739328 |
Mailing Address: | 24630 Washington Ave, Suite 200 MURRIETA |
State: | CA |
Postal Code: | 925626131 |
Phone Number: | 9516969353 |
Fax Number: | 9519737216 |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 03/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 30347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |