| Dr Matthew Noboru Maki, DPT | |
|
3364 E Slauson Ave, Vernon, CA 90058-3915 | |
| (323) 584-7242 | |
| Not Available |
| Full Name | Dr Matthew Noboru Maki |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3364 E Slauson Ave, Vernon, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760086359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Noboru Maki, DPT 17934 Manhattan Pl, Torrance, CA 90504-4424 Ph: () - | Dr Matthew Noboru Maki, DPT 3364 E Slauson Ave, Vernon, CA 90058-3915 Ph: (323) 584-7242 |
Mrs. Vida R Isip, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 S Soto St, Vernon, CA 90058 Phone: 323-585-7162 Fax: 323-282-4002 | |
Lily Merryweather Nethington, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3364 E Slauson Ave, Vernon, CA 90058 Phone: 323-584-7242 | |
Bethanie Prosser, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3364 E Slauson Ave, Vernon, CA 90058 Phone: 323-584-7242 | |
Eric Lai, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3364 E Slauson Ave, Vernon, CA 90058 Phone: 323-584-7242 | |
Dr. Sean Cutrell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3364 E Slauson Ave, Vernon, CA 90058 Phone: 323-584-7242 |