| Doctor Name: | CARLO BAJADO REYES |
| NPI Number: | 1164681920 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 33601 |
| Business Practice Address: | 840 Apollo Ste 101 El Segundo, CA - 90245 |
| Business Phone Number: | 3106065664 |
| Business Fax Number: | |
| Mailing Address: | 1909 Dufour Apt A, REDONDO BEACH |
| State: | CA |
| Postal Code: | 90278 |
| Phone Number: | 3104279901 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2008 |
| NPI Last Update Date: | 03/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 33601 |
| 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 |