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3535 E 7th St, Long Beach, CA 90804-5138 | |
| (562) 434-0062 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3535 E 7th St, Long Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134767817 | NPI | - | NPPES |
| 1528542479 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Enrico Dalisay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528542479 PECOS PAC ID: 5193150860 Enrollment ID: I20200128000276 |
| Mailing Address | Practice Location Address |
|---|---|
4148 Boyar Ave, Long Beach, CA 90807-3027 Ph: (562) 888-1008 | 3535 E 7th St, Long Beach, CA 90804-5138 Ph: (562) 434-0062 |
Marissa Dela Cruz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1520 W 31st St, Long Beach, CA 90810 Phone: 562-216-3163 | |
Rubin Lever, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4028 E Broadway, Long Beach, CA 90803 Phone: 562-433-4331 Fax: 562-433-4336 | |
Ms. Joanne Long, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-5555 | |
Corine Cojocaru, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2017 Palo Verde Ave, 101, Long Beach, CA 90815 Phone: 562-493-5501 | |
Puchna Suos Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3008 Snowden Ave, Long Beach, CA 90808 Phone: 562-354-6163 | |
Nover Kabamalan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 E Market St, Long Beach, CA 90805 Phone: 562-428-4681 |