Andrew Latta, DPT | |
735 W Channel Islands Blvd, Port Hueneme, CA 93041-2130 | |
(805) 250-7505 | |
Not Available |
Full Name | Andrew Latta |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 735 W Channel Islands Blvd, Port Hueneme, 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 |
---|---|---|---|
1780238915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 305931 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Giardina Sportsmedicine Consultants Inc | 9931122942 | 9 |
Provider Name | Spooner Physical Therapy & Hand Rehab, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184730095 PECOS PAC ID: 3476440447 Enrollment ID: O20040303000811 |
Provider Name | Giardina Sportsmedicine Consultants Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013125483 PECOS PAC ID: 9931122942 Enrollment ID: O20060105000211 |
Mailing Address | Practice Location Address |
---|---|
Andrew Latta, DPT 9097 E Desert Cove Ave Ste 110, Scottsdale, AZ 85260-6276 Ph: (480) 551-4965 | Andrew Latta, DPT 735 W Channel Islands Blvd, Port Hueneme, CA 93041-2130 Ph: (805) 250-7505 |
Summer Morris, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 735 W Channel Islands Blvd, Port Hueneme, CA 93041 Phone: 805-250-7505 Fax: 805-250-7171 | |
Pauline Delcastillo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 151 Courtyard Dr, Port Hueneme, CA 93041 Phone: 805-512-3954 |