Provider Demographics
NPI:1265701353
Name:POPESCU, CRISTINA CLAUDIA (PT)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:CLAUDIA
Last Name:POPESCU
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11110 OHIO AVE
Mailing Address - Street 2:105
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-3388
Mailing Address - Country:US
Mailing Address - Phone:310-775-1609
Mailing Address - Fax:310-935-4555
Practice Address - Street 1:11110 OHIO AVE
Practice Address - Street 2:105
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-3388
Practice Address - Country:US
Practice Address - Phone:310-775-1609
Practice Address - Fax:310-935-4555
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-20
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT33305225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist