| Alicia Wagner, DPT | |
|
1000 N Central Ave Ste 110, Glendale, CA 91202-3685 | |
| (818) 243-8422 | |
| Not Available |
| Full Name | Alicia Wagner |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1000 N Central Ave Ste 110, Glendale, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235737966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 298900 (California) | Primary |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Wagner, DPT 1616 Hanging Rock Ave, Montebello, CA 90640-2124 Ph: (323) 683-7042 | Alicia Wagner, DPT 1000 N Central Ave Ste 110, Glendale, CA 91202-3685 Ph: (818) 243-8422 |
Mr. Eric Khanlarian, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 W Wilson Ave Unit 105, Glendale, CA 91203 Phone: 818-731-4040 | |
Margousian Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1136 Winchester Ave Apt 204, Glendale, CA 91201 Phone: 818-568-4595 | |
Adriana Quintero, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 605 W Broadway, Glendale, CA 91204 Phone: 818-246-7174 | |
Alexander Moukhtarian, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 N Central Ave Ste 110, Glendale, CA 91202 Phone: 818-243-8422 Fax: 818-243-8444 | |
Hugo Delgado Magana, Physical Therapist Medicare: Medicare Enrolled Practice Location: 605 W California Ave Apt 4, Glendale, CA 91203 Phone: 323-605-2182 | |
Helen Setyan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3795 La Crescenta Ave Ste 102, Glendale, CA 91208 Phone: 323-830-0919 | |
Brenna Dubick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1241 S Glendale Ave Ste 203, Glendale, CA 91205 Phone: 510-440-1383 |