| Southbay Los Angeles Physical Therapy Inc. | |
|
148 Main St Ste G, Seal Beach, CA 90740-6386 | |
| (562) 493-8426 | |
| Not Available |
| Full Name | Southbay Los Angeles Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 148 Main St Ste G, Seal Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720626872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Franklin A Ortiz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811237456 PECOS PAC ID: 1355629270 Enrollment ID: I20161027002559 |
| Mailing Address | Practice Location Address |
|---|---|
| Southbay Los Angeles Physical Therapy Inc. 146 Paseo De La Concha Apt D, Redondo Beach, CA 90277-6239 Ph: (323) 842-0976 | Southbay Los Angeles Physical Therapy Inc. 148 Main St Ste G, Seal Beach, CA 90740-6386 Ph: (562) 493-8426 |
Ashley Vinh Tang, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1005 Pacific Coast Hwy Ste A2, Seal Beach, CA 90740 Phone: 562-598-5500 | |
Charles Warren Bartleson V, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1005 Pacific Coast Hwy, Seal Beach, CA 90740 Phone: 562-598-5500 | |
Mrs. Carol Christine Maiolfi Iii, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4872 Candleberry Ave, Seal Beach, CA 90740 Phone: 562-225-5633 Fax: 562-596-6901 | |
Kyle Kurata, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1005 Pacific Coast Hwy, Seal Beach, CA 90740 Phone: 562-598-5500 | |
Justin Virgino, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12501 Seal Beach Blvd, Ste 210, Seal Beach, CA 90740 Phone: 562-493-8800 Fax: 562-493-2980 | |
Mackenzie Creehan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1005 Pacific Coast Hwy # A2, Seal Beach, CA 90740 Phone: 562-598-5500 Fax: 562-598-5550 | |
Robin Faustino Jr., PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13001 Seal Beach Blvd Ste 100, Seal Beach, CA 90740 Phone: 949-551-3860 |