| Gary M Souza, DPT, OCS | |
|
1370 Valley Vista Dr Ste 145, Diamond Bar, CA 91765-3950 | |
| (909) 861-3511 | |
| (909) 860-7900 |
| Full Name | Gary M Souza |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 25 Years |
| Location | 1370 Valley Vista Dr Ste 145, Diamond Bar, 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 |
|---|---|---|---|
| 1043315765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT10462 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pomona Valley Orthopedic And Sports Physical Therapy Inc | 4284536814 | 12 |
| Provider Name | Pomona Valley Orthopedic And Sports Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1255301461 PECOS PAC ID: 4284536814 Enrollment ID: O20090512000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary M Souza, DPT, OCS 21015 Pathfinder Rd, Ste 100, Diamond Bar, CA 91765-4002 Ph: (909) 861-3511 | Gary M Souza, DPT, OCS 1370 Valley Vista Dr Ste 145, Diamond Bar, CA 91765-3950 Ph: (909) 861-3511 |
Olivia Laura Cruz, Physical Therapist Medicare: Medicare Enrolled Practice Location: 21015 Pathfinder Rd Ste 100, Diamond Bar, CA 91765 Phone: 909-861-3511 | |
Bryan Kwon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3220 S Brea Canyon Rd Ste E, Diamond Bar, CA 91765 Phone: 909-551-6293 | |
Mr. Hokkei Hwang, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1710 Kiowa Crest Dr, Diamond Bar, CA 91765 Phone: 626-764-2828 | |
James Mcafee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21015 Pathfinder Rd Ste 100, Diamond Bar, CA 91765 Phone: 909-861-3511 Fax: 909-860-7900 | |
Chelsea Toole, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21015 Pathfinder Rd, Suite 100, Diamond Bar, CA 91765 Phone: 909-861-3511 | |
Christian Lama Medina, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 832 N Diamond Bar Blvd, Diamond Bar, CA 91765 Phone: 909-861-8211 Fax: 909-861-8055 |