Matthew Olesen, DPT | |
30870 Russell Ranch Rd Ste 330, Westlake Village, CA 91362-7372 | |
(805) 497-7015 | |
Not Available |
Full Name | Matthew Olesen |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 17 Years |
Location | 30870 Russell Ranch Rd Ste 330, Westlake Village, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710130323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 22661 (Maryland) | Secondary |
225100000X | Physical Therapist | 304974 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regents Of The University Of California | 0547490534 | 108 |
Provider Name | Regents Of The University Of California |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750723540 PECOS PAC ID: 0547490534 Enrollment ID: O20140314000181 |
Mailing Address | Practice Location Address |
---|---|
Matthew Olesen, DPT 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Matthew Olesen, DPT 30870 Russell Ranch Rd Ste 330, Westlake Village, CA 91362-7372 Ph: (805) 497-7015 |
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