Robert Pace, | |
12555 Lakewood Blvd Ste F, Downey, CA 90242-2771 | |
(562) 923-4704 | |
Not Available |
Full Name | Robert Pace |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 12555 Lakewood Blvd Ste F, Downey, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164643466 | NPI | - | NPPES |
AZ4402 | Other | AZ | PT LICENSE |
PT293796 | Other | CA | PHYSICAL THERAPY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | AZ4402 (Arizona) | Secondary |
225100000X | Physical Therapist | 293796 (California) | Primary |
Provider Name | 360 Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932430949 PECOS PAC ID: 1355237645 Enrollment ID: O20040224000822 |
Mailing Address | Practice Location Address |
---|---|
Robert Pace, 946 E Lowell Ave, Gilbert, AZ 85295-1116 Ph: (213) 804-1712 | Robert Pace, 12555 Lakewood Blvd Ste F, Downey, CA 90242-2771 Ph: (562) 923-4704 |
Dr. Danny Hyun Kim, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9353 Imperial Hwy, Physical Therapy Gmo 3rd Floor, Downey, CA 90242 Phone: 562-657-2682 | |
Downey Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 11525 Brookshire Ave Ste 109, Downey, CA 90241 Phone: 562-861-0972 Fax: 562-862-6949 | |
Mr. Jonathan Bryant, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-401-6847 Fax: 562-401-6052 | |
Ashley Nicole Van Dyke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-385-6244 | |
Ashley Vinh Chang, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9353 Imperial Hwy, Downey, CA 90242 Phone: 833-574-2273 | |
Jalpa N Shah, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9449 Imperial Hwy, Garden Medical Office, 3rd Floor, Pm&r Dept., Downey, CA 90242 Phone: 562-657-2212 | |
Dr. Cheryl Blatt, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-401-7511 |