| Joseph Terrazzino M D Inc | |
|
23823 Valencia Blvd Suite 230 Valencia CA 91355-2103 | |
| (661) 254-0172 | |
| (661) 254-0017 |
| Full Name | Joseph Terrazzino M D Inc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 23823 Valencia Blvd, Valencia, California |
| Authorized Official Name and Position | Joseph Terrazzino (DIRECT OWNER) |
| Authorized Official Contact | 6612540172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Terrazzino M D Inc P.o. Box 55115 Valencia CA 91385-0115 Ph: (661) 254-0172 | Joseph Terrazzino M D Inc 23823 Valencia Blvd Suite 230 Valencia CA 91355-2103 Ph: (661) 254-0172 |
| NPI Number | 1669570008 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 04/15/2024 |
| Medicare PECOS PAC ID | 1759389869 |
|---|---|
| Medicare Enrollment ID | O20061128000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669570008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G75356 (California) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | G75356 (California) | Primary |
| Provider Name | Joseph Terrazzino |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952337719 PECOS PAC ID: 5294733309 Enrollment ID: I20061128000629 |
| Provider Name | Kristin M Jordan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538325287 PECOS PAC ID: 4486718384 Enrollment ID: I20090128000095 |
| Provider Name | Marsii S Degrasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851833214 PECOS PAC ID: 7416239553 Enrollment ID: I20170124003132 |
| Provider Name | Navid Mahabadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679193221 PECOS PAC ID: 5496154916 Enrollment ID: I20231024001608 |
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