Mr Brian Mendez, MPT, OCS, CSCS | |
1600 Main St Fl 2, Venice, CA 90291-3626 | |
(888) 859-0145 | |
(888) 858-1601 |
Full Name | Mr Brian Mendez |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1600 Main St Fl 2, Venice, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205857604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 28034 (California) | Primary |
Provider Name | Proformance Physical Therapy And Rehabilitation, Inc. |
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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 |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian Mendez, MPT, OCS, CSCS 1600 Main St Fl 2, Venice, CA 90291-3626 Ph: (888) 859-0145 | Mr Brian Mendez, MPT, OCS, CSCS 1600 Main St Fl 2, Venice, CA 90291-3626 Ph: (888) 859-0145 |
Dr. Susan Stich, DR Physical Therapist Medicare: Medicare Enrolled Practice Location: 933 Venezia Ave, Venice, CA 90291 Phone: 310-849-7746 | |
Mr. Renwick Yoshio Maeda, PT MPT OCS GCFP Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145 | |
Ms. Melanie Goya, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145 | |
Andrew Gabriel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145 | |
Dr. Kyle Reed Iguchi, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145 | |
Dr. Casey Tarpey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145 Fax: 888-858-1601 |