Mr Venancio P Malano Jr, PT | |
4367 Concord Blvd, Concord, CA 94521-1145 | |
(971) 206-5200 | |
Not Available |
Full Name | Mr Venancio P Malano Jr |
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Gender | Male |
Speciality | Physical Therapist |
Location | 4367 Concord Blvd, Concord, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598094765 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 35035 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Mr Venancio P Malano Jr, PT 4560 Se International Way, Ste 100, Milwaukie, OR 97222-4628 Ph: (971) 206-5202 | Mr Venancio P Malano Jr, PT 4367 Concord Blvd, Concord, CA 94521-1145 Ph: (971) 206-5200 |
Mr. Martin H Koehler, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 Stanwell Drive, Suite 104, Concord, CA 94520 Phone: 925-686-5400 Fax: 925-686-3709 | |
Dr. Jayson Bryant Merrill, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3355 Cowell Rd, Concord, CA 94518 Phone: 925-876-9872 | |
Ms. Laura Jo Husk, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Bates Ave, Concord, CA 94520 Phone: 925-677-4240 | |
Dillon Ray Traynor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Sutter St Ste 420, Concord, CA 94520 Phone: 925-440-4021 | |
Meghan Nelson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Concord Ave Ste 210, Concord, CA 94520 Phone: 925-265-8889 | |
Cara M Jennings, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Sutter St Ste 100, Concord, CA 94520 Phone: 925-939-8585 Fax: 925-933-2709 | |
Anthea Lam, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1050 San Miguel Rd, Concord, CA 94518 Phone: 925-825-4280 |