Provider Demographics
NPI:1427446699
Name:NARVAEZ, JOSEPH FLORENTE (PTA)
Entity type:Individual
Prefix:
First Name:JOSEPH FLORENTE
Middle Name:
Last Name:NARVAEZ
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8868 BUCHANAN CIR
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-3803
Mailing Address - Country:US
Mailing Address - Phone:562-261-3550
Mailing Address - Fax:
Practice Address - Street 1:8868 BUCHANAN CIR
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-3803
Practice Address - Country:US
Practice Address - Phone:562-261-3550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT8569225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant