Provider Demographics
NPI:1740737246
Name:APODACA, FABRIZIO (MS, ATC)
Entity Type:Individual
Prefix:
First Name:FABRIZIO
Middle Name:
Last Name:APODACA
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24907 MAGIC MOUNTAIN PKWY
Mailing Address - Street 2:APT 1320
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-4849
Mailing Address - Country:US
Mailing Address - Phone:661-674-6651
Mailing Address - Fax:
Practice Address - Street 1:24907 MAGIC MOUNTAIN PKWY
Practice Address - Street 2:APT 1320
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-4849
Practice Address - Country:US
Practice Address - Phone:661-674-6651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer