Provider Demographics
NPI:1326861527
Name:GELERT, JOHN HANCOCK JR (RRT, RPFT, RRT-SDS)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HANCOCK
Last Name:GELERT
Suffix:JR
Gender:M
Credentials:RRT, RPFT, RRT-SDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16006 CHELLA DR
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-6401
Mailing Address - Country:US
Mailing Address - Phone:626-862-3351
Mailing Address - Fax:
Practice Address - Street 1:9400 ROSECRANS AVE # B-19
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-2246
Practice Address - Country:US
Practice Address - Phone:561-461-4608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39449227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered