Doctor Name: | DR. CESAR BENEDICT FAJARDO |
NPI Number: | 1346259769 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | PT 32157 |
Business Practice Address: | 3662 Katella Ave Suite 105 Los Alamitos, CA - 907203124 |
Business Phone Number: | 5627994494 |
Business Fax Number: | 5622800304 |
Mailing Address: | 1907 Deerpark Dr, Apt #478 FULLERTON |
State: | CA |
Postal Code: | 928311591 |
Phone Number: | 3144971786 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 32157 |
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 |