Provider Demographics
NPI:1548647027
Name:ALMENDARES, RAYMUND (PT ASSISSTANT)
Entity type:Individual
Prefix:
First Name:RAYMUND
Middle Name:
Last Name:ALMENDARES
Suffix:
Gender:M
Credentials:PT ASSISSTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9228 ELM VISTA DR
Mailing Address - Street 2:APARTMENT A
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-5316
Mailing Address - Country:US
Mailing Address - Phone:562-291-9378
Mailing Address - Fax:562-381-0058
Practice Address - Street 1:9228 ELM VISTA DR
Practice Address - Street 2:APARTMENT A
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-5316
Practice Address - Country:US
Practice Address - Phone:562-291-9378
Practice Address - Fax:562-381-0058
Is Sole Proprietor?:No
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6801225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant