| Socal Physical Therapy Inc. | |
|
27616 Newhall Ranch Rd, Suite 35, Valencia, CA 91355-3482 | |
| (661) 254-0488 | |
| (661) 254-0490 |
| Full Name | Socal Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 27616 Newhall Ranch Rd, Valencia, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689810087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | AC11597 (California) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | PT28833 (California) | Primary |
| Provider Name | Dongwon Jahng |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568504207 PECOS PAC ID: 5698878171 Enrollment ID: I20070321000662 |
| Provider Name | Andrew Tusaazemajja |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215572607 PECOS PAC ID: 8022442789 Enrollment ID: I20200106001176 |
| Provider Name | Mackenzie Marler Gedalia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588361851 PECOS PAC ID: 1254703218 Enrollment ID: I20230221001622 |
| Provider Name | Corey Michael Burrill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134960651 PECOS PAC ID: 6406397223 Enrollment ID: I20240920000390 |
| Mailing Address | Practice Location Address |
|---|---|
| Socal Physical Therapy Inc. 26114 Salinger Ln, Stevenson Ranch, CA 91381-1107 Ph: (661) 254-0488 | Socal Physical Therapy Inc. 27616 Newhall Ranch Rd, Suite 35, Valencia, CA 91355-3482 Ph: (661) 254-0488 |