CHRISTIAN BANTASAN

LOS ANGELES, CA
NPI1447999651
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  48983)
Additional Taxonomies171W00000X Contractor
Enumeration Date2022-06-03
Last Update Date2022-12-06
Business Address
CHRISTIAN BANTASAN
6080 CENTER DR. 6TH FLOOR SUITE # 639
LOS ANGELES, CA 90045
Phone number: 888-859-0145
Mailing Address
CHRISTIAN BANTASAN
PO BOX 1295
VENICE, CA 90294-1295
Phone number:
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