| Aria Physical Therapy Center | |
|
43979 15th St W Lancaster CA 93534-4635 | |
| (661) 522-3711 | |
| (661) 522-3711 |
| Full Name | Aria Physical Therapy Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 43979 15th St W, Lancaster, California |
| Authorized Official Name and Position | Myra J Arias (CEO) |
| Authorized Official Contact | 6615223711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aria Physical Therapy Center 43979 15th St W Lancaster CA 93534-4635 Ph: (661) 522-3711 | Aria Physical Therapy Center 43979 15th St W Lancaster CA 93534-4635 Ph: (661) 522-3711 |
| NPI Number | 1528634995 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 11/04/2021 |
| Medicare PECOS PAC ID | 2365842036 |
|---|---|
| Medicare Enrollment ID | O20210617000573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528634995 | NPI | - | NPPES |
| CB376197 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Hannivi D Dacula |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447409990 PECOS PAC ID: 2365509627 Enrollment ID: I20130508000297 |
| Provider Name | Janeth Sta Barbara Sicam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982369500 PECOS PAC ID: 8022497452 Enrollment ID: I20220617002497 |
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