Mr Brian Ibenthal, PT | |
4870 Barranca Pkwy, Ste. 340, Irvine, CA 92604-4709 | |
(949) 653-7878 | |
(949) 653-7848 |
Full Name | Mr Brian Ibenthal |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 31 Years |
Location | 4870 Barranca Pkwy, Irvine, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457370553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 19450 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Select Cal Physical Therapy Pc | 4789070699 | 120 |
Provider Name | Select Cal Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417619008 PECOS PAC ID: 4789070699 Enrollment ID: O20220401000572 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian Ibenthal, PT 44 Frontier St, Trabuco Canyon, CA 92679-5346 Ph: () - | Mr Brian Ibenthal, PT 4870 Barranca Pkwy, Ste. 340, Irvine, CA 92604-4709 Ph: (949) 653-7878 |
Kimberly M. Maclean, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606 Phone: 949-265-2442 Fax: 949-265-2448 | |
Ms. Luz O Blake, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15715 Rockfield Boulevard, Suite 100, Irvine, CA 92618 Phone: 949-206-9100 Fax: 949-206-1648 | |
Davis Y Koh, DPT, MBA, GCS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9080 Irvine Center Dr, Irvine, CA 92618 Phone: 949-540-5641 | |
Par Plus, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 16257 Laguna Canyon Rd, Suite # 150, Irvine, CA 92618 Phone: 949-727-0700 Fax: 949-727-0707 | |
Denise Marie Lane, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4482 Barranca Pkwy Ste 195, Irvine, CA 92604 Phone: 949-679-3337 Fax: 949-679-3336 | |
Matthew Hoang, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17332 Von Karman Ave Ste 120, Irvine, CA 92614 Phone: 949-861-8600 | |
Shelly A Gadea, Physical Therapist Medicare: Medicare Enrolled Practice Location: 24 Hammond, Unit C, Irvine, CA 92618 Phone: 949-770-6022 Fax: 949-770-7084 |