| Lavayen Physical Therapy Inc | |
|
26691 Plaza Drive, Suite #205, Mission Viejo, CA 92691 | |
| (949) 367-1088 | |
| (949) 367-1042 |
| Full Name | Lavayen Physical Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 26691 Plaza Drive, Mission Viejo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588772792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT11297 (California) | Primary |
| Provider Name | Carlos A Lavayen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003979493 PECOS PAC ID: 7416020011 Enrollment ID: I20080715000545 |
| Mailing Address | Practice Location Address |
|---|---|
| Lavayen Physical Therapy Inc 26691 Plaza Drive, Suite #205, Mission Viejo, CA 92691 Ph: (949) 367-1088 | Lavayen Physical Therapy Inc 26691 Plaza Drive, Suite #205, Mission Viejo, CA 92691 Ph: (949) 367-1088 |
Carlos Alfredo Lavayen, DPT ECS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26691 Plaza Drive Ste 205, Mission Viejo, CA 92691 Phone: 949-367-1088 Fax: 949-367-1042 | |
Petra S Place, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25982 Pala, Suite 230, Mission Viejo, CA 92691 Phone: 949-600-8812 | |
Brian Gregory Boone, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27401 Los Altos, Suite 485, Mission Viejo, CA 92691 Phone: 949-716-3930 | |
Southland Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25565 Jeronimo Rd, Mission Viejo, CA 92691 Phone: 949-627-8800 Fax: 949-627-8801 | |
Jazmin Kan, PT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25565 Jeronimo Rd, Mission Viejo, CA 92691 Phone: 949-627-8800 | |
Edward Joseph Kearns Iii, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26561 Aracena Dr, Mission Viejo, CA 92691 Phone: 302-388-3067 | |
Mrs. Laurie Layton Boulware, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26921 Crown Valley Pkwy, Suite 120, Mission Viejo, CA 92691 Phone: 949-582-2555 |