Santa Ana, Dale

Santa Ana, Dale is an sole proprietor health care provider with primary practice located at 6815 Noble Ave , Van Nuys CA 91405-3796. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Santa Ana, Dale can be contacted via phone (818) 901-6600.

Contact Information

Primary practice address
6815 Noble Ave Van Nuys CA 91405-3796
Phone: (818) 901-6600
Fax: (818) 997-7826
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT22165 California

Profile Details

NPI number 1902952922
LBN Legal business name Santa Ana, Dale
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Feb 2nd, 2012 - about 12 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 1902952922 NPPES
California Other PT22165 CA LICENSE

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