Jose Azanon
Jose Azanon is a Rehabilitation Practitioner in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
2801 Bristol StCosta Mesa, CA 92626-5996
Phone: (714) 850-8463
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X (CA) |
|---|
Record details
| NPI number | 1467091330 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 24, 2019 |
| Last updated in NPPES | August 7, 2025 |
| Certification date | August 7, 2025 |
| Mailing address | 2801 Bristol St, Costa Mesa, CA 92626-5996 |
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