Doctor Name: | PAUL ANDRE LOPEZ AMBULO |
NPI Number: | 1144400243 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | |
Business Practice Address: | 13151 Brookhurst St Garden Grove, CA - 928431079 |
Business Phone Number: | 5624817833 |
Business Fax Number: | |
Mailing Address: | 13151 Brookhurst St, GARDEN GROVE |
State: | CA |
Postal Code: | 928431079 |
Phone Number: | 5624817833 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 09/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |