Individual provider · Type 1 NPI

Jared Tan Dicioco, PT

Orthopedic Physical Therapist · Los Angeles, CA

NPI number 1538055181 Active

Practice location

1640 Marengo St Ste 102
Los Angeles, CA 90033-1061

Call (323) 865-1200 Map

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X308208 (CA)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1538055181

Jared Tan Dicioco, PT's National Provider Identifier is 1538055181, issued on Jun 17, 2025. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 14, 2025.