SUSAN MAIS-REQUEJO (NPI# 1730383506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730383506 |
| Entity Type | Individual |
| Full Name | SUSAN MAIS-REQUEJO |
| Credential | D.P.T. |
| Practice Address |
2819 Josie Ave Long Beach CA 90815-1515 |
| Practice Telephone | 5627433761 |
| Practice Fax Number | 5964963628 |
| Mailing Telephone | 5627433761 |
| Mailing Fax Number | 5964963628 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2014-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT18717 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | PT181717 | 01 |
| Street Address |
2819 JOSIE AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386206316 | Jonathan T Truong | Physical Therapist | 2111 Tevis Ave, Long Beach, CA 90815-3352 | 2019-06-29 |
| 1073928636 | Trevor Lapaglia | Physical Therapist | 5901 E 7th St # P117, Long Beach, CA 90822-5201 | 2014-06-23 |
| 1932362324 | Family Physical Therapy of South Ms LLC | Physical Therapist | 100-a La Rosa Rd, Long Beach, MS 39560 | 2008-07-07 |
| 1780750778 | Julie Jean Gee | Physical Therapist | 5470 E 2nd St, D, Long Beach, CA 90803-3925 | 2006-11-28 |
| 1295200525 | Dana Kanemaru | Physical Therapist | 2017 Palo Verde Ave Ste 101, Long Beach, CA 90815-3300 | 2018-10-13 |
| 1841687803 | Julie Ann Frontiera | Physical Therapist | 2760 Atlantic Ave, Long Beach, CA 90806-2755 | 2015-04-16 |
| 1477961159 | Michelle Schwier | Physical Therapist | 2760 Atlantic Ave, Long Beach, CA 90806-2755 | 2014-07-26 |
| 1295072064 | Betina Bishop Bain | Physical Therapist | 6695 E Pacific Coast Hwy, Suite 100, Long Beach, CA 90803-4235 | 2013-01-13 |
| 1114273117 | Krishma Dholakia | Physical Therapist | 4010 Orange Ave, Long Beach, CA 90807-3717 | 2012-07-27 |
| 1891008090 | Travis Joseph Smith | Physical Therapist | 3900 E Pacific Coast Hwy, Long Beach, CA 90804-2013 | 2010-07-16 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on SUSAN MAIS-REQUEJO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.