Gisselle Famoso
NPI #1225800766 in Brea, California
Provider Information
- NPI Number
- 1225800766
- Entity Type
- Individual
- Name
- Gisselle Famoso
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Oct 27, 2023
- Last Updated
- Jul 18, 2025
Practice Location
- Address
- 120 S STATE COLLEGE BLVD
- City
- Brea
- State
- California
- ZIP Code
- 92821-5834
- Phone
- (714) 577-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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| Jordan Josiah Harris | |
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| DR. Kenneth William Boddie, M.D. |
Organizations
| Provider Name | |
|---|---|
| Pacific Therapeutic Services INC |
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