Gary M Souza, DPT, OCS | |
1370 Valley Vista Dr Ste 145, Diamond Bar, CA 91765-3950 | |
(909) 861-3511 | |
(909) 860-7900 |
Full Name | Gary M Souza |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 1370 Valley Vista Dr Ste 145, Diamond Bar, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043315765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT10462 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pomona Valley Orthopedic And Sports Physical Therapy Inc | 4284536814 | 11 |
Provider Name | Pomona Valley Orthopedic And Sports Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1255301461 PECOS PAC ID: 4284536814 Enrollment ID: O20090512000140 |
Mailing Address | Practice Location Address |
---|---|
Gary M Souza, DPT, OCS 21015 Pathfinder Rd, Ste 100, Diamond Bar, CA 91765-4002 Ph: (909) 861-3511 | Gary M Souza, DPT, OCS 1370 Valley Vista Dr Ste 145, Diamond Bar, CA 91765-3950 Ph: (909) 861-3511 |
Olivia Laura Cruz, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21015 Pathfinder Rd Ste 100, Diamond Bar, CA 91765 Phone: 909-861-3511 | |
Bryan Kwon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3220 S Brea Canyon Rd Ste E, Diamond Bar, CA 91765 Phone: 909-551-6293 | |
Homelink Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23665 Golden Springs Dr Unit 2e, Diamond Bar, CA 91765 Phone: 714-812-4795 | |
Mr. Hokkei Hwang, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1710 Kiowa Crest Dr, Diamond Bar, CA 91765 Phone: 626-764-2828 | |
James Mcafee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21015 Pathfinder Rd Ste 100, Diamond Bar, CA 91765 Phone: 909-861-3511 Fax: 909-860-7900 | |
Chelsea Toole, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21015 Pathfinder Rd, Suite 100, Diamond Bar, CA 91765 Phone: 909-861-3511 |