| Elite Performance Clinic | |
|
15125 Ventura Blvd Ste 200, Sherman Oaks, CA 91403-3306 | |
| (818) 646-0040 | |
| Not Available |
| Full Name | Elite Performance Clinic |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 15125 Ventura Blvd Ste 200, Sherman Oaks, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407671944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ehsan Khayambashi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275233553 PECOS PAC ID: 9638543440 Enrollment ID: I20230317001820 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Performance Clinic 15125 Ventura Blvd Ste 200, Sherman Oaks, CA 91403-3306 Ph: () - | Elite Performance Clinic 15125 Ventura Blvd Ste 200, Sherman Oaks, CA 91403-3306 Ph: (818) 646-0040 |
Dr. Asher Eli Lichterman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13540 Ventura Blvd, Sherman Oaks, CA 91423 Phone: 818-990-0267 | |
Maria Francisca Clarete Flores, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4906 Ranchito Avenue, Sherman Oaks, CA 91423 Phone: 818-625-5467 | |
Melissa Nepomuceno, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15250 Ventura Blvd Ste 300, Sherman Oaks, CA 91403 Phone: 818-990-0267 | |
Ms. Mary Antoniette Detuyatu Cruz, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14148 Magnolia Blvd, Suite 105, Sherman Oaks, CA 91423 Phone: 818-784-3838 Fax: 818-784-3803 | |
Dr. Gemma Rosas, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4433 Murietta Ave Apt 8, Sherman Oaks, CA 91423 Phone: 818-749-8610 | |
Michael D Loren, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14116 Magnolia Blvd, Sherman Oaks, CA 91423 Phone: 818-789-3819 | |
Robert N. Mettam, P.t., Physical Therapist, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14116 Magnolia Blvd, Sherman Oaks, CA 91423 Phone: 818-789-3819 Fax: 818-789-3546 |