Mr Ian K Wallsh, PT | |
704 N Irena Ave Unit B, Redondo Beach, CA 90277-2217 | |
(310) 379-2926 | |
Not Available |
Full Name | Mr Ian K Wallsh |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 17 Years |
Location | 704 N Irena Ave Unit B, Redondo Beach, 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 |
---|---|---|---|
1538328539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 34642 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
California Luna Care Physical Therapy Pc | 9638427834 | 565 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Ian K Wallsh, PT 704 North Irena Ave Unit B, Redondo Beach, CA 90277-2217 Ph: (310) 379-2926 | Mr Ian K Wallsh, PT 704 N Irena Ave Unit B, Redondo Beach, CA 90277-2217 Ph: (310) 379-2926 |
Emily May Varee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2621 Manhattan Beach Blvd, Redondo Beach, CA 90278 Phone: 310-374-0477 Fax: 310-374-1605 | |
Oliver Severios, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1708 Esplanade Apt 10, Redondo Beach, CA 90277 Phone: 310-423-9293 | |
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Robert Frank Maffucci, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2621 Manhattan Beach Blvd, Redondo Beach, CA 90278 Phone: 310-374-0477 Fax: 310-374-1605 | |
Denise De Garceau, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 N Prospect Ave, Suite 100, Redondo Beach, CA 90277 Phone: 310-376-9222 | |
Kelly Lynn Mahoney, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2108 Huntington Ln # A, Redondo Beach, CA 90278 Phone: 310-372-3292 | |
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