Greg Dolmage, OTR/L | |
12490 W Fielding Cir Apt 174, Playa Vista, CA 90094-3024 | |
(424) 216-7239 | |
Not Available |
Full Name | Greg Dolmage |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 12490 W Fielding Cir Apt 174, Playa Vista, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831812924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 24089 (California) | Primary |
Provider Name | Jha Geriatric Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1902403041 PECOS PAC ID: 2062321151 Enrollment ID: O20210413002226 |
Mailing Address | Practice Location Address |
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Greg Dolmage, OTR/L 7150 Tampa Ave, Reseda, CA 91335-3700 Ph: (818) 942-2284 | Greg Dolmage, OTR/L 12490 W Fielding Cir Apt 174, Playa Vista, CA 90094-3024 Ph: (424) 216-7239 |
Sergio Sandoval, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6565 Crescent Park W Apt 408, Playa Vista, CA 90094 Phone: 323-206-2507 | |
Ms. Shiksha D Hingorani, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5625 Crescent Park W, Unit #134, Playa Vista, CA 90094 Phone: 310-367-5661 |