Basic Information
| Provider Information | |||||||||
| NPI: | 1043790421 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCAFEE | ||||||||
| FirstName: | JAMES | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1999 GOLDENROD CT | ||||||||
| Address2: | |||||||||
| City: | WESTLAKE VILLAGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913613548 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8057954581 | ||||||||
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| Practice Location | |||||||||
| Address1: | 21015 PATHFINDER RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | DIAMOND BAR | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917654002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9098613511 | ||||||||
| FaxNumber: | 9098607900 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2018 | ||||||||
| LastUpdateDate: | 08/15/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | 295277 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.