Mr Matthew Benjamin Bustillos, PT | |
24731 Alicia Pkwy, Unit B, Laguna Hills, CA 92653-4653 | |
(949) 588-7278 | |
(949) 588-7331 |
Full Name | Mr Matthew Benjamin Bustillos |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 24731 Alicia Pkwy, Laguna Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578605010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT15153 (California) | Primary |
Provider Name | Select Cs Physical Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043894090 PECOS PAC ID: 1355742081 Enrollment ID: O20210701000787 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Benjamin Bustillos, PT 27222 Nogal, Mission Viejo, CA 92692-3422 Ph: (949) 367-1598 | Mr Matthew Benjamin Bustillos, PT 24731 Alicia Pkwy, Unit B, Laguna Hills, CA 92653-4653 Ph: (949) 588-7278 |
Kaylie Fisher, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653 Phone: 949-340-6927 | |
Cathy Ryu Premysler, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24012 Calle De La Plata, Suite 355, Laguna Hills, CA 92653 Phone: 949-916-1654 | |
Nancy Melinda Guttry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23193 La Cadena Dr, 102, Laguna Hills, CA 92653 Phone: 310-717-6801 | |
Mrs. Michelle M Farrell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23961 Calle De La Magdalena, Saddleback Medical Group, Inc, Suite 130, Laguna Hills, CA 92653 Phone: 949-588-8700 Fax: 949-465-8159 | |
Kathleen Monahan Naficy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24422 Avenida De La Carlota Ste 165, Laguna Hills, CA 92653 Phone: 949-951-2770 Fax: 949-951-2976 | |
La Paz Chiropractic And Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25200 La Paz Rd, Suite 102, Laguna Hills, CA 92653 Phone: 949-770-8767 Fax: 949-770-0836 | |
Dr. Nirav Hiru Patel, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24422 Avenida De La Carlota, Suite 190, Laguna Hills, CA 92653 Phone: 949-340-6927 Fax: 949-215-7246 |