Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDRA PONCI BADO, M.P.T.
ActiveAUDRA PONCI BADO, M.P.T. is a 2251H1200X healthcare provider located in LOS ANGELES, California. NPI 1164627436 is currently active in the NPPES registry. Verify at CMS.
2251H1200X · LOS ANGELES, CA
Registration Details
- NPI Number
- 1164627436
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2007 (19.114368828165 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
26768 (CA)26768 (CA)
Practice Information
- Address
-
12099 W WASHINGTON BLVD STE 300LOS ANGELES, CA, 900662621Browse CA providers · Browse ZIP 90066
- Phone
- 2139358566
- Fax
- 3105350009
- Primary Specialty
-
2251H1200X
2251H1200X
- Additional Specialty
- 2251H1200X
- Additional Specialty
- 2251H1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.