Individual provider · Type 1 NPI

Luis Angel Calvillo Jr., PTA

Specialist · Riverside, CA

NPI number 1508110461 Active

Practice location

246 Plews Ct
Riverside, CA 92507-1100

Call (909) 499-9266 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAT8130 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508110461

Luis Angel Calvillo Jr., PTA's National Provider Identifier is 1508110461, issued on Oct 30, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Riverside, CA. The record was last updated on Oct 30, 2012.