Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wilford Kyle Eiteman-Pang, DPT

Individual provider Physical Therapist · NPI 1881356129

Wilford Kyle Eiteman-Pang, DPT is a Physical Therapist in Private Practice in Agoura Hills, California. Qualified in 2021, 5 years ago. Practices with Mesisca Physical Therapy Inc, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

28210 Dorothy Dr
Agoura Hills, CA 91301-2297
Phone: (310) 699-7346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 300531 (CA)

Record details

NPI number1881356129
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 13, 2021
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021
Mailing address15340 Albright St Unit 301, Pacific Palisades, CA 90272-2528

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mesisca Physical Therapy Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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