Socal Physical Therapy Inc. | |
27616 Newhall Ranch Rd, Suite 35, Valencia, CA 91355-3482 | |
(661) 254-0488 | |
(661) 254-0490 |
Full Name | Socal Physical Therapy Inc. |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 27616 Newhall Ranch Rd, Valencia, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1689810087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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171100000X | Acupuncturist | AC11597 (California) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | PT28833 (California) | Primary |
Provider Name | Dongwon Jahng |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568504207 PECOS PAC ID: 5698878171 Enrollment ID: I20070321000662 |
Provider Name | Andrew Tusaazemajja |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215572607 PECOS PAC ID: 8022442789 Enrollment ID: I20200106001176 |
Provider Name | Mackenzie Marler Gedalia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1588361851 PECOS PAC ID: 1254703218 Enrollment ID: I20230221001622 |
Provider Name | Corey Michael Burrill |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134960651 PECOS PAC ID: 6406397223 Enrollment ID: I20240920000390 |
Mailing Address | Practice Location Address |
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Socal Physical Therapy Inc. 26114 Salinger Ln, Stevenson Ranch, CA 91381-1107 Ph: (661) 254-0488 | Socal Physical Therapy Inc. 27616 Newhall Ranch Rd, Suite 35, Valencia, CA 91355-3482 Ph: (661) 254-0488 |