Mitchell Vandel-holm, PT, DPT, ATC, CSCS | |
1482 La Mirada Dr, San Marcos, CA 92078-2414 | |
(760) 704-7000 | |
Not Available |
Full Name | Mitchell Vandel-holm |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 1482 La Mirada Dr, San Marcos, 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 |
---|---|---|---|
1700432101 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT300190 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthwest Physical Therapy, Inc. | 6608288196 | 3 |
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 | Healthwest Physical Therapy, Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1013524263 PECOS PAC ID: 6608288196 Enrollment ID: O20201207000609 |
Mailing Address | Practice Location Address |
---|---|
Mitchell Vandel-holm, PT, DPT, ATC, CSCS 3542 Seaward Cir Apt 310, Oceanside, CA 92056-5235 Ph: (307) 399-7859 | Mitchell Vandel-holm, PT, DPT, ATC, CSCS 1482 La Mirada Dr, San Marcos, CA 92078-2414 Ph: (760) 704-7000 |
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Carolyn Jessica Chan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2115 Montiel Rd Ste 103, San Marcos, CA 92069 Phone: 760-839-2905 Fax: 760-839-2901 | |
Lorraine Vivienne Levy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Craven Rd, San Marcos, CA 92078 Phone: 760-510-5656 | |
Alexis Noel Adiarte, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 277 Rancheros Dr, Suite 150, San Marcos, CA 92069 Phone: 760-752-1011 Fax: 760-752-1311 |