Individual provider · Type 1 NPI

Eddie Boquilla

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1043402977 Active

Practice location

3125 N Broadway
Los Angeles, CA 90031-2703

Call (323) 222-4591 Map

Fax (323) 222-4614

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1043402977

Eddie Boquilla's National Provider Identifier is 1043402977, issued on Aug 14, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 14, 2007.