| |
8015 S Sepulveda Blvd, Westchester, CA 90045-2940 | |
(310) 407-5440 | |
(310) 407-5441 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 8015 S Sepulveda Blvd, Westchester, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518195759 | NPI | - | NPPES |
PT25373 | Other | CA | CALIFORNIA LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT25373 (California) | Primary |
2251S0007X | Physical Therapist - Sports | PT25373 (California) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Po Box 728, Topanga, CA 90290-0728 Ph: (310) 407-5440 | 8015 S Sepulveda Blvd, Westchester, CA 90045-2940 Ph: (310) 407-5440 |
Mr. Vincent Hellmut Newman, P.T., ATRIC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8015 S Sepulveda Blvd, Westchester, CA 90045 Phone: 310-399-7522 Fax: 310-664-6036 |