Mrs Portland E Logan, PT | |
1850 Sullivan Ave, Suite 330, Daly City, CA 94015-2221 | |
(650) 756-5630 | |
(650) 756-1964 |
Full Name | Mrs Portland E Logan |
---|---|
Gender | Female |
Speciality | Physical Therapist - Orthopedic |
Location | 1850 Sullivan Ave, Daly City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538258066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 19775 (California) | Primary |
Provider Name | Peninsula Orthopedic Associates Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154464329 PECOS PAC ID: 7719974336 Enrollment ID: O20040427000616 |
Mailing Address | Practice Location Address |
---|---|
Mrs Portland E Logan, PT 1850 Sullivan Ave, Suite 330, Daly City, CA 94015-2221 Ph: (650) 756-5630 | Mrs Portland E Logan, PT 1850 Sullivan Ave, Suite 330, Daly City, CA 94015-2221 Ph: (650) 756-5630 |
Saliba Peter Habash, Physical Therapist Medicare: Medicare Enrolled Practice Location: 165 Pierce St, Daly City, CA 94015 Phone: 650-515-0986 | |
Alika Kaili Kuamoo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Bromley Court, Daly City, CA 94015 Phone: 650-878-8239 | |
Mr. Luis E Araneda, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 901 Campus Drive Ste 213, Daly City, CA 94015 Phone: 650-994-7800 Fax: 650-994-2271 | |
Mr. Thomas Mcdade, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 171 School St, Daly City, CA 94014 Phone: 650-756-3740 Fax: 650-756-3890 | |
Mrs. Dorie Paniza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 171a School St., Daly City, CA 94014 Phone: 650-756-3740 Fax: 650-756-3890 | |
Tara Mcgann Friedman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2945 Junipero Serra Blvd, Daly City, CA 94014 Phone: 650-755-8830 Fax: 650-755-8147 | |
Emily R Rodgers, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1850 Sullivan Ave, Suite 330, Daly City, CA 94015 Phone: 650-756-5630 Fax: 650-756-1964 |