| Dr Justin C Luz, PT, DPT | |
|
4300 Golden Center Dr, Suite B, Placerville, CA 95667-6278 | |
| (530) 344-2045 | |
| (530) 642-0794 |
| Full Name | Dr Justin C Luz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4300 Golden Center Dr, Placerville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275148249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT298955 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin C Luz, PT, DPT 4300 Golden Center Dr, Suite B, Placerville, CA 95667-6278 Ph: (530) 344-2045 | Dr Justin C Luz, PT, DPT 4300 Golden Center Dr, Suite B, Placerville, CA 95667-6278 Ph: (530) 344-2045 |
Chet R Yoder, MPT DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5798 Hollyberry Ln, Placerville, CA 95667 Phone: 209-273-9844 | |
Malini Parthasarathi, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1252 Broadway Ste B, Placerville, CA 95667 Phone: 530-622-9410 Fax: 530-622-9445 | |
Mr. Ronald Eugene Thompson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4300 Golden Center Dr, Suite B, Placerville, CA 95667 Phone: 530-344-2045 Fax: 530-642-0794 | |
Dr. Anna Galloway, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1252 Broadway, Suite B, Placerville, CA 95667 Phone: 530-622-9410 | |
Jennifer Marie Joy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4301 Golden Center Dr, Placerville, CA 95667 Phone: 530-621-1100 Fax: 530-621-1104 | |
Jason Hubbart, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1252 Broadway Ste B, Placerville, CA 95667 Phone: 530-622-9410 | |
Mr. William Harrison White, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1980 Broadway, Placerville, CA 95667 Phone: 530-622-3536 Fax: 530-622-3538 |