Provider Demographics
NPI:1053024489
Name:HIPOL, JIRAEL FRANCIS (DPT)
Entity type:Individual
Prefix:DR
First Name:JIRAEL
Middle Name:FRANCIS
Last Name:HIPOL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2252 VISTA VERDE DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-1630
Mailing Address - Country:US
Mailing Address - Phone:408-893-1827
Mailing Address - Fax:
Practice Address - Street 1:7485 MISSION VALLEY RD STE 104A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4422
Practice Address - Country:US
Practice Address - Phone:408-893-1827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3030142251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic