Nobuyasu Itakura, | |
27722 Clinton Keith Rd Ste B, Murrieta, CA 92562-8562 | |
(951) 790-0202 | |
Not Available |
Full Name | Nobuyasu Itakura |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 27722 Clinton Keith Rd Ste B, Murrieta, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346835493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 299681 (California) | Primary |
Provider Name | Select San Diego Physical Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700516408 PECOS PAC ID: 4981088994 Enrollment ID: O20220824003600 |
Mailing Address | Practice Location Address |
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Nobuyasu Itakura, 24630 Washington Ave Ste 201, Murrieta, CA 92562-6177 Ph: () - | Nobuyasu Itakura, 27722 Clinton Keith Rd Ste B, Murrieta, CA 92562-8562 Ph: (951) 790-0202 |
Lanthan Hakanson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 40680 California Oaks Rd, Suite 2a, Murrieta, CA 92562 Phone: 951-894-4800 Fax: 951-894-4804 | |
Kirstie A Cua, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25150 Hancock Ave, Suite 200, Murrieta, CA 92562 Phone: 951-698-7720 Fax: 951-698-7451 | |
Delaney Lynn Porter, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41421 Date St Ste 101, Murrieta, CA 92562 Phone: 855-454-3784 | |
Breanna Lee Raymer Welsh, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25495 Medical Center Dr Ste 304, Murrieta, CA 92562 Phone: 951-696-7474 Fax: 951-696-7575 | |
Dr. Elisha Marie Lisath, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 39815 Alta Murrieta Dr Ste C1, Murrieta, CA 92563 Phone: 951-304-7673 | |
Katrina Acoba, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25150 Hancock Ave, Suite 100, Murrieta, CA 92562 Phone: 951-698-7720 Fax: 951-698-7451 | |
Garrett Arthur Kuljian, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25495 Medical Center Dr Ste 304, Murrieta, CA 92562 Phone: 951-696-7474 Fax: 951-696-7575 |