| Dustin Thomas Gonzaga-beaver, OTR/L | |
|
2601 Airport Dr Ste 115, Torrance, CA 90505-6133 | |
| (310) 325-7404 | |
| Not Available |
| Full Name | Dustin Thomas Gonzaga-beaver |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 2601 Airport Dr Ste 115, Torrance, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164124962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 24722 (California) | Primary |
| Provider Name | Atlantis Physical Therapy Assoc. |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1245323252 PECOS PAC ID: 3870558513 Enrollment ID: O20041122001218 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Thomas Gonzaga-beaver, OTR/L 5655 E Calle Canada, Anaheim, CA 92807-3720 Ph: (657) 282-2000 | Dustin Thomas Gonzaga-beaver, OTR/L 2601 Airport Dr Ste 115, Torrance, CA 90505-6133 Ph: (310) 325-7404 |
Stephanie Hoffman, MA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19401 S Vermont Ave, Suite A-200, Torrance, CA 90502 Phone: 310-323-6887 | |
Valerie Rougeau, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1815 W. 213th Street, Suite 100, Torrance, CA 90501 Phone: 310-328-0693 Fax: 310-328-7058 | |
Mrs. Amanda Michelle Littlejohn, MS OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3445 Pacific Coast Hwy Ste 310, Torrance, CA 90505 Phone: 310-370-1200 | |
Irene Shin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 21515 Hawthorne Blvd Ste G100, Torrance, CA 90503 Phone: 424-571-2618 Fax: 424-571-2339 | |
Dana Granado, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19401 S Vermont Ave, Suite A-200, Torrance, CA 90502 Phone: 310-323-6887 | |
Ms. Kimberly Marie Ford, MA, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3475 Torrance Blvd, Suite B-2, Torrance, CA 90503 Phone: 310-316-7748 | |
Heather Hudgins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18512 Hawthorne Blvd, Torrance, CA 90504 Phone: 310-371-8555 Fax: 310-371-4488 |