Individual provider · Type 1 NPI

Peter Elsousou

Rehabilitation Practitioner · Culver City, CA

NPI number 1306435102 Active

Practice location

9808 Venice Blvd Ste 505
Culver City, CA 90232-6818

Fax (310) 945-3356

Mailing address

75 Jordan Ave
Ventura, CA 93001-3509

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 1306435102

Peter Elsousou's National Provider Identifier is 1306435102, issued on Jan 15, 2021. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Culver City, CA. The record was last updated on Jan 12, 2023.