| |
8180 Manitoba St Apt 340, Playa Del Rey, CA 90293-8647 | |
(626) 230-3940 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Home Health |
Location | 8180 Manitoba St Apt 340, Playa Del Rey, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891306809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
251E00000X | Home Health | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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8180 Manitoba St Apt 340, Playa Del Rey, CA 90293-8647 Ph: (626) 230-3940 | 8180 Manitoba St Apt 340, Playa Del Rey, CA 90293-8647 Ph: (626) 230-3940 |