| Keldyn Lang, PT | |
|
8805 Haven Ave, Suite 200, Rancho Cucamonga, CA 91730-5149 | |
| (909) 912-1750 | |
| (909) 557-1732 |
| Full Name | Keldyn Lang |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 8805 Haven Ave, Rancho Cucamonga, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396297727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT292004 (California) | Primary |
| Provider Name | Lake City Physical Therapy P A |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952521411 PECOS PAC ID: 3678465234 Enrollment ID: O20040503001343 |
| Mailing Address | Practice Location Address |
|---|---|
| Keldyn Lang, PT 1801 Orange Tree Ln, Suite 200, Redlands, CA 92374-4589 Ph: (909) 557-1607 | Keldyn Lang, PT 8805 Haven Ave, Suite 200, Rancho Cucamonga, CA 91730-5149 Ph: (909) 912-1750 |
Nesreen Saad, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9405 Fairway View Pl, Rancho Cucamonga, CA 91730 Phone: 909-481-7345 | |
Vazira Mohammed Kanga, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5489 Rutland Ct, Rancho Cucamonga, CA 91739 Phone: 909-262-0559 | |
Awston Albiso, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10849 Zinfandel St, Rancho Cucamonga, CA 91737 Phone: 909-965-5530 | |
Megan Elaine Borjan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8282 White Oak Ave Ste 107, Rancho Cucamonga, CA 91730 Phone: 909-586-0509 | |
Mrs. Constance Hutchins, PT, DPT, OCS, FAFS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5812 Cousins Pl, Rancho Cucamonga, CA 91737 Phone: 909-206-5682 | |
Lisa Faith Sato, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8599 Haven Ave, Ste. 207, Rancho Cucamonga, CA 91730 Phone: 909-948-0411 Fax: 909-948-0511 | |
Parker Diamond, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10590 Town Center Dr Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-948-1124 |