Episcope, Edelisa Rose Rustia

Episcope, Edelisa Rose Rustia is an individual health care provider with primary practice located at 11441 Ventura Blvd , Studio City CA 91604-3143. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Episcope, Edelisa Rose Rustia can be contacted via phone (818) 980-8200.

Contact Information

Primary practice address
11441 Ventura Blvd Studio City CA 91604-3143
Phone: (818) 980-8200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT294741 California

Profile Details

NPI number 1104466325
LBN Legal business name Episcope, Edelisa Rose Rustia
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2020
Last updated Feb 25th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104466325 NPPES
California Other 22712012 KAISER PERMANENTE

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