Mr Glen Sumulong Gomez, | |
1111 N Brand Blvd, Suite J&k, Glendale, CA 91202-3070 | |
(818) 841-5818 | |
(818) 244-7559 |
Full Name | Mr Glen Sumulong Gomez |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 22 Years |
Location | 1111 N Brand Blvd, Glendale, 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 |
---|---|---|---|
1427165760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 28987 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Select Cs Physical Therapy Pc | 1355742081 | 113 |
Provider Name | Select Cs Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043894090 PECOS PAC ID: 1355742081 Enrollment ID: O20210701000787 |
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 Glen Sumulong Gomez, 1111 N Brand Blvd, Suite J&k, Glendale, CA 91202-3070 Ph: (818) 841-5818 | Mr Glen Sumulong Gomez, 1111 N Brand Blvd, Suite J&k, Glendale, CA 91202-3070 Ph: (818) 841-5818 |
Mr. Eric Khanlarian, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 W Wilson Ave Unit 105, Glendale, CA 91203 Phone: 818-731-4040 | |
Margousian Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1136 Winchester Ave Apt 204, Glendale, CA 91201 Phone: 818-568-4595 | |
Adriana Quintero, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 605 W Broadway, Glendale, CA 91204 Phone: 818-246-7174 | |
Alexander Moukhtarian, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 N Central Ave Ste 110, Glendale, CA 91202 Phone: 818-243-8422 Fax: 818-243-8444 | |
Hugo Delgado Magana, Physical Therapist Medicare: Medicare Enrolled Practice Location: 605 W California Ave Apt 4, Glendale, CA 91203 Phone: 323-605-2182 | |
Helen Setyan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3795 La Crescenta Ave Ste 102, Glendale, CA 91208 Phone: 323-830-0919 | |
Brenna Dubick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1241 S Glendale Ave Ste 203, Glendale, CA 91205 Phone: 510-440-1383 |