Provider Demographics
NPI:1679720817
Name:DOBREA, FLORIN IONEL (MPT)
Entity Type:Individual
Prefix:MR
First Name:FLORIN
Middle Name:IONEL
Last Name:DOBREA
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 N EUCLID ST APT 25
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-8401
Mailing Address - Country:US
Mailing Address - Phone:714-235-8848
Mailing Address - Fax:
Practice Address - Street 1:10459 MOUNTAIN VIEW AVE
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-2033
Practice Address - Country:US
Practice Address - Phone:909-478-9508
Practice Address - Fax:909-478-9518
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28290225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW17215BMedicare PIN
CAZZZ23993ZMedicare PIN
CACY620VMedicare PIN
CACW620WMedicare PIN
CAZZZ30106ZMedicare PIN
CACW620YMedicare PIN