Mr Carlos Pena Pineda Iii, DPT | |
3300 E South St, Lakewood, CA 90805-4549 | |
(562) 303-6366 | |
Not Available |
Full Name | Mr Carlos Pena Pineda Iii |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3300 E South St, Lakewood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194827063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT32078 (California) | Primary |
Provider Name | Functional Rehabilitation Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1063083723 PECOS PAC ID: 0941604417 Enrollment ID: O20210805000167 |
Mailing Address | Practice Location Address |
---|---|
Mr Carlos Pena Pineda Iii, DPT 3300 E South St Ste 203, Lakewood, CA 90805-4589 Ph: (562) 303-6366 | Mr Carlos Pena Pineda Iii, DPT 3300 E South St, Lakewood, CA 90805-4549 Ph: (562) 303-6366 |
Michele Ann Schmidt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5572 South St, Lakewood, CA 90713 Phone: 562-303-4252 | |
Adela Peratoner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11316 Seaborn St, Lakewood, CA 90715 Phone: 562-895-2628 | |
Brendan Werstine, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4633 Nipomo Ave, Lakewood, CA 90713 Phone: 562-234-6598 | |
Erwin C Galicinao, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5510 Clark Ave, Lakewood, CA 80712 Phone: 562-677-3700 Fax: 562-677-3705 | |
Adel A Salam, RPT BS PHYSICAL THER Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5750 Downey Ave, #301, Lakewood, CA 90712 Phone: 562-633-3501 Fax: 562-633-6178 | |
Pacific Coast Care Rehab Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4154 Woodruff Ave, Lakewood, CA 90713 Phone: 562-888-0656 | |
Rex Mangalindan, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6179 Ibbetson Ave, Lakewood, CA 90713 Phone: 323-509-8838 |