Irene Lacaillade (NPI# 1134289259, PAC ID# 1759309743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1134289259 |
| PAC ID by PECOS | 1759309743 |
| Professional Enrollment ID | I20070511000273 |
| Full Name | Irene Lacaillade |
| Organization Legal Name | SKYFALL PHYSICAL THERAPY |
| Address |
11677 San Vicente Blvd Suite 207 Los Angeles CA 90049-5128 |
| Phone Number | 3107436649 |
| Gender | F |
| Credential | PT |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0345512216 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11677 San Vicente Blvd, Suite 207, Los Angeles, CA 90049-5128 | 3107436649 | SKYFALL PHYSICAL THERAPY |
| Organization Legal Name | SKYFALL PHYSICAL THERAPY |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Ketterhagen | Physical Therapy | Skyfall Physical Therapy | 11677 San Vicente Blvd, Suite 207, Los Angeles, CA 90049-5128 |
| Street Address |
11677 SAN VICENTE BLVD SUITE 207 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90049-5128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Ketterhagen | Physical Therapy | Skyfall Physical Therapy | 11677 San Vicente Blvd, Suite 207, Los Angeles, CA 90049-5128 |
| Jessica Nicole Stern | Physical Therapy | 11677 San Vicente Blvd, Suite 207, Los Angeles, CA 90049-5128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Armin Richard Baier Jr. | Clinical Social Worker | 1041 N Bundy Dr, Los Angeles, CA 90049-1510 | |
| Abolghasem M Tehrani | Psychiatry | 11260 Chalon Rd, Los Angeles, CA 90049-1719 | |
| Rosalyn Benitez-bloch | Clinical Social Worker | 737 Halliday Ave, Los Angeles, CA 90049-2041 | |
| David C Thornton | Nurse Practitioner | Ehab Yacoub Md Inc. | 651 N Sepulveda Blvd, Suite 2b, Los Angeles, CA 90049-2186 |
| Ehab Yacoub | Psychiatry | Ehab Yacoub Md Inc. | 651 N Sepulveda Blvd, Suite 2b, Los Angeles, CA 90049-2186 |
| Pedro E Morante | Nurse Practitioner | Ehab Yacoub Md Inc. | 651 N Sepulveda Blvd, Suite 2b, Los Angeles, CA 90049-2186 |
| Andrea Lynn Sczesny | Nurse Practitioner | Ehab Yacoub Md Inc. | 651 N Sepulveda Blvd, Suite 2b, Los Angeles, CA 90049-2186 |
| Shahrooz Eshaghian | Hematology/oncology | 470 N Robinwood Dr, Los Angeles, CA 90049-2328 | |
| Farah Gozini | Optometry | 11718 Barrington Ct, Los Angeles, CA 90049-2930 | |
| Maral Touna Arpi H Donabedian | Internal Medicine | 130 S Sepulveda Blvd, Unit 105, Los Angeles, CA 90049-3150 | |
| Find all physicians in zip 90049 | |||
| City | LOS ANGELES |
| Zip Code | 90049 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LOS ANGELES + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Irene Lacaillade.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.