Geron Dale Posadas Gabriel
Individual provider Active NPI Physical Therapy Assistant · La Canada, CA
NPI 1497347355 · NPPES record last updated Feb 10, 2021
Key facts
- NPI
- 1497347355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA48419 (CA)
- Practice address
- 1346 Foothill Blvd Ste 101
La Canada, CA 91011-2131 - Phone
- (818) 790-3001
- Fax
- (818) 790-9732
- NPI assigned
- Feb 10, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA48419 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DSC Physical Therapy Inc. | Current |
Accepting new patients |
Locations
1346 Foothill Blvd
Ste 101
La Canada Flt, CA 91011
Phone (818) 790-3001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA48419 | CA | Yes |
Addresses
Primary practice location
1346 Foothill Blvd Ste 101
La Canada, CA 91011-2131
Mailing address
117 S Hoover St Apt 2
Los Angeles, CA 90004-6917
Phone (213) 448-1999
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All providers in La Canada, CA · Physical Therapy Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.