Hondo, Randy Allen Herrera

Hondo, Randy Allen Herrera is an individual health care provider with primary practice located at 11100 Warner Ave Suite 218, Fountain Valley CA 92708-7506. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hondo, Randy Allen Herrera can be contacted via phone (714) 424-0290.

Contact Information

Primary practice address
11100 Warner Ave Suite 218 Fountain Valley CA 92708-7506
Phone: (714) 424-0290
Fax: (714) 424-0278
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT24918 California

Profile Details

NPI number 1386751816
LBN Legal business name Hondo, Randy Allen Herrera
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Dec 13th, 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 1386751816 NPPES
California Other PT24918 PHYSICAL THERAPY LICENSE

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