| Enrico Dalisay Physical Therapy Inc | |
|
3535 E 7th St Long Beach CA 90804-5138 | |
| (562) 434-0062 | |
| Not Available |
| Full Name | Enrico Dalisay Physical Therapy Inc |
|---|---|
| Speciality | Physical Therapist |
| Location | 3535 E 7th St, Long Beach, California |
| Authorized Official Name and Position | Enrico Dalisay (PRESIDENT) |
| Authorized Official Contact | 5628881008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrico Dalisay Physical Therapy Inc 4148 Boyar Ave Long Beach CA 90807-3027 Ph: (562) 888-1008 | Enrico Dalisay Physical Therapy Inc 3535 E 7th St Long Beach CA 90804-5138 Ph: (562) 434-0062 |
| NPI Number | 1134767817 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 05/12/2025 |
| Medicare PECOS PAC ID | 4284069956 |
|---|---|
| Medicare Enrollment ID | O20200128000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134767817 | NPI | - | NPPES |
| 1528542479 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Enrico Dalisay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528542479 PECOS PAC ID: 5193150860 Enrollment ID: I20200128000276 |
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