LORI RUBENSTEIN FAZZIO PT NPI 1427129642

NPI Information

NPI: 1427129642
Provider Name: LORI RUBENSTEIN FAZZIO, PT
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
11835 W OLYMPIC BLVD
SUITE 135E
LOS ANGELES, CA
ZIP 90064
Phone: (310) 401-6410
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Lori Rubenstein Fazzio, PT is a specialist in Los Angeles, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Lori Rubenstein Fazzio, PT NPI is 1427129642. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11835 W OLYMPIC BLVD
SUITE 135E
LOS ANGELES, CA
ZIP 90064-001
Phone: (310) 401-6410
Fax: (310) 312-3637

The enumeration date for this NPI number is 11/10/2006 and was last updated on 1/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		PT 14694	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S98915	MEDICARE UPIN	CALIFORNIA
2	W16543	OTHER	CALIFORNIA	MEDICARE CORPORATION GROUP PTAN
3	WPT14694A	OTHER	CALIFORNIA	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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