Individual provider · Type 1 NPI

Jericho Bacani

Rehabilitation Practitioner · Culver City, CA

NPI number 1366031999 Active

Practice location

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

Call (310) 945-3350 Map

Fax (310) 945-3356

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 1366031999

Jericho Bacani's National Provider Identifier is 1366031999, issued on Jan 18, 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 18, 2021.