| Mark Danial, DPT, OCS | |
|
2560 Colorado Blvd, Eagle Rock, CA 90041-1005 | |
| (323) 255-5409 | |
| (323) 255-5732 |
| Full Name | Mark Danial |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 2560 Colorado Blvd, Eagle Rock, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992106454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 37996 (California) | 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 |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Danial, DPT, OCS 2560 Colorado Blvd, Eagle Rock, CA 90041-1005 Ph: (323) 255-5409 | Mark Danial, DPT, OCS 2560 Colorado Blvd, Eagle Rock, CA 90041-1005 Ph: (323) 255-5409 |
Bailey Gwenneth Ward, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2560 Colorado Blvd, Eagle Rock, CA 90041 Phone: 323-255-5409 | |
William Brown Burns, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2560 Colorado Blvd, Eagle Rock, CA 90041 Phone: 323-255-5409 Fax: 323-255-5732 | |
Rachel Oyama, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2560 Colorado Blvd, Eagle Rock, CA 90041 Phone: 323-255-5409 | |
Dr. Matthew David Himsey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2560 Colorado Blvd, Eagle Rock, CA 90041 Phone: 323-255-5409 | |
Erich Chung, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2560 Colorado Blvd, Eagle Rock, CA 90041 Phone: 323-255-5409 Fax: 323-255-5732 |