Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genefrey Gantioqui

Individual provider Physical Therapy Assistant · NPI 1104407147

Genefrey Gantioqui is a Physical Therapy Assistant in Buena Park, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

8219 Valley View St
Buena Park, CA 90620-2700
Phone: (562) 612-6943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 10152 (CA)

Record details

NPI number1104407147
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing address8219 Valley View St, Buena Park, CA 90620-2700

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