Dedace, Hadji Alejandro

Dedace, Hadji Alejandro is an individual health care provider with primary practice located at 1624 W Olive Ave Ste E , Burbank CA 91506-2459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Dedace, Hadji Alejandro can be contacted via phone (818) 846-1441.

Contact Information

Primary practice address
1624 W Olive Ave Ste E Burbank CA 91506-2459
Phone: (818) 846-1441
Fax: (818) 846-1419
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X PT32175 California

Profile Details

NPI number 1689762585
LBN Legal business name Dedace, Hadji Alejandro
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689762585 NPPES
California Other PT 32175 PHYSICAL THERAPY

Popular Providers