Yoshitaka Dan Koyasu, DPT | |
31764 Casino Dr Ste 106a&b, Lake Elsinore, CA 92530-2312 | |
(951) 471-3300 | |
(951) 471-3301 |
Full Name | Yoshitaka Dan Koyasu |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 31764 Casino Dr Ste 106a&b, Lake Elsinore, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588895270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT26534 (California) | Primary |
Provider Name | Rancho Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679541320 PECOS PAC ID: 2365346491 Enrollment ID: O20040127001225 |
Mailing Address | Practice Location Address |
---|---|
Yoshitaka Dan Koyasu, DPT 600 Central Ave Ste C, Lake Elsinore, CA 92530-2740 Ph: (951) 696-9353 | Yoshitaka Dan Koyasu, DPT 31764 Casino Dr Ste 106a&b, Lake Elsinore, CA 92530-2312 Ph: (951) 471-3300 |
Nancy Noelle Grieger, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20701 Cereal St, Skydive Elsinore, Team Room 8, Lake Elsinore, CA 92530 Phone: 702-904-0178 | |
Jamela Lavina Barber, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31764 Casino Dr, Suite 106, Lake Elsinore, CA 92530 Phone: 951-471-3300 Fax: 951-471-3301 | |
Rancho Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Central Ave Ste C, Lake Elsinore, CA 92530 Phone: 951-696-9353 Fax: 951-973-7216 | |
Miranda Rose Paasche, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Diamond Dr Ste 101, Lake Elsinore, CA 92530 Phone: 951-674-9515 Fax: 951-674-9517 | |
Trusha P Patel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31764 Casino Dr Ste 106, Lake Elsinore, CA 92530 Phone: 951-471-3300 | |
Janaz Ghadiali, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31764 Casino Dr, Suite 106a, Lake Elsinore, CA 92530 Phone: 951-471-3300 Fax: 951-471-3301 | |
Dr. Ismael Salgado Gallo, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 32869 Autumn Wood Cir, Lake Elsinore, CA 92530 Phone: 909-262-5768 |