| |
14708 Hawthorne Blvd, Lawndale, CA 90260-1523 | |
(800) 659-9311 | |
(562) 989-6516 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 14708 Hawthorne Blvd, Lawndale, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538436829 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 28882 (California) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 28882 (California) | Primary |
Provider Name | Henrick S Macalintal |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205846615 PECOS PAC ID: 1658478987 Enrollment ID: I20070522000439 |
Mailing Address | Practice Location Address |
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1230 Ivy Ter, Torrance, CA 90502-1603 Ph: (800) 659-9311 | 14708 Hawthorne Blvd, Lawndale, CA 90260-1523 Ph: (800) 659-9311 |