| 360 Rehabilitation Inc | |
|
910 1/2 S Robertson Blvd, Los Angeles, CA 90035-1602 | |
| (310) 657-7220 | |
| (310) 657-7221 |
| Full Name | 360 Rehabilitation Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 910 1/2 S Robertson Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770836215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Rahim Kanji |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972645083 PECOS PAC ID: 1052562030 Enrollment ID: I20130412000533 |
| Provider Name | Raymond Mullen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982148953 PECOS PAC ID: 3577992973 Enrollment ID: I20200407000255 |
| Provider Name | Ellen Leon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871132258 PECOS PAC ID: 2961833462 Enrollment ID: I20200518001730 |
| Provider Name | Tyler Wade Ray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679232896 PECOS PAC ID: 0345631453 Enrollment ID: I20240329001898 |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Rehabilitation Inc 910 1/2 S Robertson Blvd, Los Angeles, CA 90035-1602 Ph: (310) 657-7220 | 360 Rehabilitation Inc 910 1/2 S Robertson Blvd, Los Angeles, CA 90035-1602 Ph: (310) 657-7220 |
Miss Jill M Werner, B.SC.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Cesar E Chavez Ave., Los Angeles, CA 90033 Phone: 323-268-5000 | |
Ms. Peggy Sue Perock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 N La Brea Street, Bob Hope Medical Clinic, Los Angeles, CA 90036 Phone: 323-634-3826 Fax: 323-938-9958 | |
Jessica Elizabeth Greim, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 310-361-2118 | |
Mrs. Christy Lynn Skura, DPT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8717 Venice Blvd, Los Angeles, CA 90034 Phone: 310-337-7115 Fax: 310-216-6153 | |
Dr. Sean Dennis Johnson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 488 S San Vicente Blvd, Los Angeles, CA 90048 Phone: 323-655-9055 | |
Izumi Yasuhara, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6080 Center Dr Fl 6, Los Angeles, CA 90045 Phone: 888-859-0145 | |
Ritchie Val Aguilera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2040 Fair Park Ave, Apt 206, Los Angeles, CA 90041 Phone: 818-985-5990 |