Provider Demographics
NPI:1548740814
Name:AREEPRACHAPIROM, JOSIE PADUA (RCP)
Entity Type:Individual
Prefix:
First Name:JOSIE
Middle Name:PADUA
Last Name:AREEPRACHAPIROM
Suffix:
Gender:F
Credentials:RCP
Other - Prefix:
Other - First Name:JOSIE
Other - Middle Name:
Other - Last Name:PADUA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RCP
Mailing Address - Street 1:2343 W 227TH ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-5326
Mailing Address - Country:US
Mailing Address - Phone:424-215-4234
Mailing Address - Fax:
Practice Address - Street 1:25825 VERMONT AVE
Practice Address - Street 2:
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710-3518
Practice Address - Country:US
Practice Address - Phone:310-517-2648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14860227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty