Provider Demographics
NPI:1952679235
Name:SANGANI, EKTA KAMANI (DPT)
Entity Type:Individual
Prefix:DR
First Name:EKTA
Middle Name:KAMANI
Last Name:SANGANI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11911 ARTESIA BLVD STE 207
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90701-4060
Mailing Address - Country:US
Mailing Address - Phone:562-402-8389
Mailing Address - Fax:
Practice Address - Street 1:11911 ARTESIA BLVD STE 207
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90701-4060
Practice Address - Country:US
Practice Address - Phone:562-402-8389
Practice Address - Fax:562-403-2638
Is Sole Proprietor?:No
Enumeration Date:2011-12-01
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41020225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist