Hadji Alejandro Dedace, PT | |
1624 W Olive Ave Ste E, Burbank, CA 91506-2459 | |
(818) 846-1441 | |
(818) 846-1419 |
Full Name | Hadji Alejandro Dedace |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 24 Years |
Location | 1624 W Olive Ave Ste E, Burbank, 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 |
---|---|---|---|
1689762585 | NPI | - | NPPES |
PT 32175 | Other | CA | PHYSICAL THERAPY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | PT32175 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Imperial Burbank Physical Therapy Inc | 0547205734 | 3 |
Entity Name | Imperial Burbank Physical Therapy Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336250992 PECOS PAC ID: 0547205734 Enrollment ID: O20050628000765 |
Mailing Address | Practice Location Address |
---|---|
Hadji Alejandro Dedace, PT 1624 W. Olive Suite E, Burbank, CA 91506 Ph: (818) 846-1441 | Hadji Alejandro Dedace, PT 1624 W Olive Ave Ste E, Burbank, CA 91506-2459 Ph: (818) 846-1441 |
Mr. Tyler F Eshleman, MSPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 100 N First St, Suite 103, Burbank, CA 91502 Phone: 818-846-7100 Fax: 818-846-7101 | |
Hanh M Nguyen, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-847-4370 | |
Mary Grace Guevarra, P.T. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2211 W Magnolia Blvd Ste 160, Burbank, CA 91506 Phone: 818-876-4195 Fax: 818-729-0410 | |
Dr. John A.g. Villanueva, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2121 W Magnolia Blvd Ste B, Burbank, CA 91506 Phone: 626-437-3661 Fax: 818-626-3058 | |
Mrs. Beth Ellen Izbotsky, PT, MPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 501 S Buena Vista Blvd, Burbank, CA 91505 Phone: 818-802-4038 | |
Robert A Pacheco, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2701 W Alameda Ave, Suite 206, Burbank, CA 91505 Phone: 818-841-3936 Fax: 818-841-5974 |