Michael Jose Gonzales, DPT | |
4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617 | |
(424) 526-5151 | |
(424) 835-6475 |
Full Name | Michael Jose Gonzales |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 4640 Admiralty Way Ste 420, Marina Del Rey, 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 |
---|---|---|---|
1285296657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 296722 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proformance Physical Therapy And Rehabilitation, Inc. | 2062306509 | 4 |
California Luna Care Physical Therapy Pc | 9638427834 | 565 |
Provider Name | Proformance Physical Therapy And Rehabilitation, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538166079 PECOS PAC ID: 2062306509 Enrollment ID: O20040213000412 |
Provider Name | California Luna Care Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Provider Name | Feld Care Therapy Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770069338 PECOS PAC ID: 6507101359 Enrollment ID: O20181222000200 |
Mailing Address | Practice Location Address |
---|---|
Michael Jose Gonzales, DPT 14153 Victory Blvd Apt 212, Van Nuys, CA 91401-1941 Ph: (847) 736-5183 | Michael Jose Gonzales, DPT 4640 Admiralty Way Ste 420, Marina Del Rey, CA 90292-6617 Ph: (424) 526-5151 |
Eva Nemeth, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008 | |
Destiny Thompson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Admiralty Way Ste 300, Marina Del Rey, CA 90292 Phone: 310-273-0877 | |
Dr. Krysta Iola Caingcoy, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4820 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-822-0041 Fax: 310-822-0049 | |
Andrea Mathieux, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4820 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-392-7889 Fax: 310-822-0049 | |
Laurie Hubbard, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4702 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008 | |
Faye Gaitens, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008 | |
Frances B Gramaje, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4702 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008 |