Provider Demographics
NPI:1679350854
Name:TIMBANG, RIANNE ANGELICA SANCHEZ (PT, DPT, PTRP)
Entity type:Individual
Prefix:
First Name:RIANNE ANGELICA
Middle Name:SANCHEZ
Last Name:TIMBANG
Suffix:
Gender:F
Credentials:PT, DPT, PTRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4148 1/2 MANHATTAN BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-2244
Mailing Address - Country:US
Mailing Address - Phone:424-353-7283
Mailing Address - Fax:
Practice Address - Street 1:559 E CARSON ST STE B
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-2721
Practice Address - Country:US
Practice Address - Phone:424-201-5242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA302421225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist