Judd Donnelly, PT | |
435 N Bedford Dr Ste 102, Beverly Hills, CA 90210-4319 | |
(310) 385-9064 | |
Not Available |
Full Name | Judd Donnelly |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 435 N Bedford Dr Ste 102, Beverly Hills, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558657387 | NPI | - | NPPES |
PT38010 | Other | CA | PT LICENSE |
FF352Z | Other | MCR PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthcare Partners Affiliates Medical Group | 7315842002 | 645 |
Provider Name | Healthcare Partners Affiliates Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
Mailing Address | Practice Location Address |
---|---|
Judd Donnelly, PT 435 N Bedford Dr Ste 102, Beverly Hills, CA 90210-4319 Ph: (310) 385-9064 | Judd Donnelly, PT 435 N Bedford Dr Ste 102, Beverly Hills, CA 90210-4319 Ph: (310) 385-9064 |
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