Matthew Villalobos
Matthew Villalobos is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2015, 11 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 11
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
1526 N Edgemont StLos Angeles, CA 90027
Phone: (800) 954-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1526 N Edgemont St, Los Angeles, CA 90027 — (800) 954-8000
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT291154 (CA) |
|---|
Record details
| NPI number | 1013372085 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 17, 2015 |
| Last updated in NPPES | October 11, 2021 |
| Certification date | October 11, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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