| Ilya Kaminsky Dc A Professional Corporation | |
|
6333 Wilshire Blvd, Suite 101, Los Angeles, CA 90048-5702 | |
| (323) 966-2676 | |
| (323) 966-2677 |
| Full Name | Ilya Kaminsky Dc A Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6333 Wilshire Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417128125 | NPI | - | NPPES |
| PT0190920 | Medicaid | CA | |
| PT0190921 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT19092 (California) | Primary |
| Provider Name | Ilya Kaminsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821076852 PECOS PAC ID: 5092867838 Enrollment ID: I20090709000107 |
| Provider Name | Steven Allan Roseboro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821184946 PECOS PAC ID: 0042343345 Enrollment ID: I20100807000010 |
| Provider Name | Matthew J Tabarez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538673124 PECOS PAC ID: 5193086973 Enrollment ID: I20180220001056 |
| Provider Name | Lisa H Kwan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982961496 PECOS PAC ID: 4385065341 Enrollment ID: I20200528003087 |
| Provider Name | Edward Hernandez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336813203 PECOS PAC ID: 6709282403 Enrollment ID: I20210903001671 |
| Provider Name | Stephanie Nava |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083314397 PECOS PAC ID: 5597130401 Enrollment ID: I20230406002065 |
| Provider Name | Elliot H Yoo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730859901 PECOS PAC ID: 3577961770 Enrollment ID: I20231006001283 |
| Provider Name | Hakob Khachatryan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568235901 PECOS PAC ID: 8224487137 Enrollment ID: I20231218000280 |
| Provider Name | Gabrielle W Wise |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710655261 PECOS PAC ID: 0547667974 Enrollment ID: I20240111000039 |
| Provider Name | Samantha Atty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760246789 PECOS PAC ID: 8123465242 Enrollment ID: I20240326000535 |
| Provider Name | Amanda Chan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730940339 PECOS PAC ID: 7618316167 Enrollment ID: I20240416003190 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilya Kaminsky Dc A Professional Corporation 6333 Wilshire Blvd, Suite 101, Los Angeles, CA 90048-5702 Ph: (323) 966-2676 | Ilya Kaminsky Dc A Professional Corporation 6333 Wilshire Blvd, Suite 101, Los Angeles, CA 90048-5702 Ph: (323) 966-2676 |
Miss Jill M Werner, B.SC.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Cesar E Chavez Ave., Los Angeles, CA 90033 Phone: 323-268-5000 | |
Ms. Peggy Sue Perock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 N La Brea Street, Bob Hope Medical Clinic, Los Angeles, CA 90036 Phone: 323-634-3826 Fax: 323-938-9958 | |
Jessica Elizabeth Greim, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 310-361-2118 | |
Mrs. Christy Lynn Skura, DPT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8717 Venice Blvd, Los Angeles, CA 90034 Phone: 310-337-7115 Fax: 310-216-6153 | |
Dr. Sean Dennis Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 488 S San Vicente Blvd, Los Angeles, CA 90048 Phone: 323-655-9055 | |
Izumi Yasuhara, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6080 Center Dr Fl 6, Los Angeles, CA 90045 Phone: 888-859-0145 | |
Ritchie Val Aguilera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2040 Fair Park Ave, Apt 206, Los Angeles, CA 90041 Phone: 818-985-5990 |