Whalio Doctors

NPI 1710371992

Maria Astrid Kim Jimenez Grace, PTA

Practitioner Contractor Long Beach, CA

Practice location

Address
330 Golden Shr Suite 250, Long Beach, CA 90802-4246
Phone
(562) 256-7550
Fax
(800) 985-5002
Mailing address
8091 Constantine Dr APT 4, Huntington Beach, CA 92646-1726

Registered specialties

Contractor Primary
Other Service Providers Taxonomy 171W00000X Licence AT9671 (CA)

Registry record

NPI
1710371992
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Mar 2015
Record last updated
25 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.