| Sandra Daugherty, PT | |
|
8250 Woodman Ave Bldg 2, Panorama City, CA 91402-5427 | |
| (818) 815-6049 | |
| Not Available |
| Full Name | Sandra Daugherty |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 8250 Woodman Ave Bldg 2, Panorama City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578345203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 304217 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Daugherty, PT 2980 Ripple Pl Apt 202, Los Angeles, CA 90039-2965 Ph: (310) 804-6266 | Sandra Daugherty, PT 8250 Woodman Ave Bldg 2, Panorama City, CA 91402-5427 Ph: (818) 815-6049 |
Dr. Jayna Lehman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8250 Woodman Ave, Panorama City, CA 91402 Phone: 818-375-2000 | |
Miss Marifi Remoquillo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14728 Tupper St, Panorama City, CA 91402 Phone: 818-359-3928 | |
Mrs. Ruth Ann Podielski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Balboa Plaza, Panorama City, CA 91402 Phone: 818-832-7200 | |
Robert Francis Walsh, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14427 Chase St, Suite 206, Panorama City, CA 91402 Phone: 818-920-9474 Fax: 818-920-9473 | |
Morris Keiichi Sasaki, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2033 | |
Christine Summerson Tilt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8250 Woodman Ave, Panorama City, CA 91402 Phone: 818-375-4023 | |
Mrs. Linda Sharon Lawson, BS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-832-7288 Fax: 818-832-7249 |