Physicians Choice Physical Therapy | |
12217 Santa Monica Blvd Ste 209, West Los Angeles, CA 90025 | |
(310) 309-3721 | |
(310) 309-3724 |
Full Name | Physicians Choice Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 12217 Santa Monica Blvd Ste 209, West Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1043226665 | NPI | - | NPPES |
ZZZ666372 | Other | CA | BLUE SHIELDS PREF. PROV. |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Gauravi P Merchant |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518949023 PECOS PAC ID: 2163420761 Enrollment ID: I20061122000312 |
Provider Name | Woodrow W Hammond |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417253808 PECOS PAC ID: 7618131830 Enrollment ID: I20120619000262 |
Mailing Address | Practice Location Address |
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Physicians Choice Physical Therapy 12217 Santa Monica Blvd Ste 209, West Los Angeles, CA 90025-2589 Ph: (310) 309-3721 | Physicians Choice Physical Therapy 12217 Santa Monica Blvd Ste 209, West Los Angeles, CA 90025 Ph: (310) 309-3721 |
Gili Dekel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12113 Santa Monica Blvd Ste 203, West Los Angeles, CA 90025 Phone: 310-309-3721 Fax: 310-309-3724 |