Alexy Villalobos, | |
2192 Goddard Ave, Simi Valley, CA 93063-2843 | |
(805) 813-7368 | |
Not Available |
Full Name | Alexy Villalobos |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 2192 Goddard Ave, Simi Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174262489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 302218 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Breakthrough Physical Therapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053320325 PECOS PAC ID: 8022092766 Enrollment ID: O20040617001577 |
Mailing Address | Practice Location Address |
---|---|
Alexy Villalobos, 2192 Goddard Ave, Simi Valley, CA 93063-2843 Ph: (805) 813-7368 | Alexy Villalobos, 2192 Goddard Ave, Simi Valley, CA 93063-2843 Ph: (805) 813-7368 |
Mrs. Karen Rita Lindberg, OTR Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1687 Erringer Rd, Suite 109, Simi Valley, CA 93065 Phone: 805-584-8054 | |
Mrs. Deborah V Roman, OTR Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1687 Erringer Rd, Suite 109, Simi Valley, CA 93065 Phone: 805-584-8054 |