Dale Santa Ana, PT | |
6815 Noble Ave, Van Nuys, CA 91405-3796 | |
(818) 901-6600 | |
(818) 997-7826 |
Full Name | Dale Santa Ana |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 6815 Noble Ave, Van Nuys, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902952922 | NPI | - | NPPES |
PT22165 | Other | CA | CA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT22165 (California) | Primary |
Provider Name | Imperial Burbank Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336250992 PECOS PAC ID: 0547205734 Enrollment ID: O20050628000765 |
Mailing Address | Practice Location Address |
---|---|
Dale Santa Ana, PT 6815 Noble Ave, Van Nuys, CA 91405-3796 Ph: (818) 901-6600 | Dale Santa Ana, PT 6815 Noble Ave, Van Nuys, CA 91405-3796 Ph: (818) 901-6600 |
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Alexander Brandon Lee, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6815 Noble Ave, Van Nuys, CA 91405 Phone: 818-901-6600 | |
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