Provider / Organization | NPI | Date Certified |
---|---|---|
KEVIN GUPILAN | 1487485504 | 2024-08-10 |
Kevin Gupilan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487485504. Registration indicates Kevin Gupilan is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapy Assistant (Physical Therapy Assistant, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Kevin Gupilan |
Practice Office Address | 3392 MOTOR AVE LOS ANGELES, CA US |
Practice Office Telephone | 3107422230 |
Mailing Address | 217 LUCAS AVE APT 1 LOS ANGELES, CA 900266128 US |
Code | Practice | License No State |
---|---|---|
225200000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant Physical Therapy Assistant Speech/Occupational/Physical Therapy/Chiropractor Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 52148
CA |