Individual provider · Type 1 NPI

Brian Bernard Ponce

Rehabilitation Practitioner · Long Beach, CA

NPI number 1114270964 Active

Practice location

5150 E Pacific Coast Hwy Ste 100
Long Beach, CA 90804-3394

Call (562) 490-7600 Map

Mailing address

5150 E Pch Ste 100
Long Beach, CA 90804-3394

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 1114270964

Brian Bernard Ponce's National Provider Identifier is 1114270964, issued on Oct 17, 2012. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Long Beach, CA. The record was last updated on Oct 17, 2012.