| Dana Nichole Park, DPT | |
|
12501 Seal Beach Blvd Ste 210, Seal Beach, CA 90740-2755 | |
| (562) 493-8800 | |
| Not Available |
| Full Name | Dana Nichole Park |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 12501 Seal Beach Blvd Ste 210, Seal Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710606496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 302706 (California) | Primary |
| Provider Name | Rossmoor Rehabilitation Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1922251073 PECOS PAC ID: 2769530153 Enrollment ID: O20090422000649 |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Nichole Park, DPT 1939 Rambling Rd, Simi Valley, CA 93065-5934 Ph: (805) 791-1257 | Dana Nichole Park, DPT 12501 Seal Beach Blvd Ste 210, Seal Beach, CA 90740-2755 Ph: (562) 493-8800 |
Ashley Vinh Tang, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1005 Pacific Coast Hwy Ste A2, Seal Beach, CA 90740 Phone: 562-598-5500 | |
Charles Warren Bartleson V, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1005 Pacific Coast Hwy, Seal Beach, CA 90740 Phone: 562-598-5500 | |
Mrs. Carol Christine Maiolfi Iii, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4872 Candleberry Ave, Seal Beach, CA 90740 Phone: 562-225-5633 Fax: 562-596-6901 | |
Kyle Kurata, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1005 Pacific Coast Hwy, Seal Beach, CA 90740 Phone: 562-598-5500 | |
Justin Virgino, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12501 Seal Beach Blvd, Ste 210, Seal Beach, CA 90740 Phone: 562-493-8800 Fax: 562-493-2980 | |
Mackenzie Creehan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 Pacific Coast Hwy # A2, Seal Beach, CA 90740 Phone: 562-598-5500 Fax: 562-598-5550 | |
Robin Faustino Jr., PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13001 Seal Beach Blvd Ste 100, Seal Beach, CA 90740 Phone: 949-551-3860 |