Daniella Averbukh, PT, DPT | |
13443 Debby St, Van Nuys, CA 91401-2404 | |
(323) 541-3693 | |
Not Available |
Full Name | Daniella Averbukh |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 13443 Debby St, 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 |
---|---|---|---|
1568191013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 301309 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Daniella Averbukh, PT, DPT 13443 Debby St, Van Nuys, CA 91401-2404 Ph: () - | Daniella Averbukh, PT, DPT 13443 Debby St, Van Nuys, CA 91401-2404 Ph: (323) 541-3693 |
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