Damion David Rodeback (NPI# 1083069793, PAC ID# 4486940814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083069793 |
| PAC ID by PECOS | 4486940814 |
| Professional Enrollment ID | I20170816003997 |
| Full Name | Damion David Rodeback |
| Organization Legal Name | LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION |
| Address |
25802 Hemingway Ave Suite 105 Stevenson Ranch CA 91381-2391 |
| Phone Number | 6612842600 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537181185 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 621 W Line St, Suite 105, Bishop, CA 93514-3320 | 7608738781 | LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION |
| 631 W Ave Q, Suite B, Palmdale, CA 93551-3892 | 6619479000 | LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION |
| 1200 N China Lake Blvd, Ridgecrest, CA 93555-2665 | 7604469007 | LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION |
| 25802 Hemingway Ave, Suite 105, Stevenson Ranch, CA 91381-2391 | 6612842600 | LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION |
| Organization Legal Name | LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Nadia Elhofy | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 6181 N Thesta St, Suite 104, Fresno, CA 93710-8604 |
| Thomas Philip Yaw | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 6145 W Chandler Blvd, 2 Chandler Dermatology and Skin Cancer, Chandler, AZ 85226-3434 |
| Dianna Smith | Nurse Practitioner | La Laser Center PC A Professional Medical Corporation | 10884 Santa Monica Blvd, Fl 3, Los Angeles, CA 90025-7638 |
| Ricardo Lionel Flippen | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 215 E Caldwell Ave, Visalia Derm and Skin, Visalia, CA 93277-7605 |
| Ferwa Syeda Manzer | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 5600 California Ave, Bakersfield, CA 93309-1614 |
| Ajitpal S Dhillon | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 400 N Irwin St, Hanford, CA 93230-4426 |
| Cheri Ponce | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 621 W Line St, Suite 105, Bishop, CA 93514-3320 |
| James L Reith | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 74320 Hwy 111, Suite 100, Palm Desert, CA 92260-4140 |
| Daniel P Taheri | Dermatology | La Laser Center PC A Professional Medical Corporation | 1200 N China Lake Blvd, Ridgecrest, CA 93555-2665 |
| Laura Lee Ruby Goen | Physician Assistant | La Laser Center PC A Professional Medical Corporation | 621 W Line St, Suite 105, Bishop, CA 93514-3320 |
| Street Address |
25802 HEMINGWAY AVE SUITE 105 |
| City | STEVENSON RANCH |
| State | CA |
| Zip | 91381-2391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Ross Gardner | Physical Therapy | Progressive Physical Therapy Inc | 25949 The Old Rd, Valencia, CA 91381-1714 |
| Raymond L Gray | Physical Therapy | Progressive Physical Therapy Inc | 25949 The Old Rd, Valencia, CA 91381-1714 |
| Eric Christopher Spencer | Physical Therapy | Santa Clarita Valley Therapy Services | 25129 The Old Rd, Suite 100, Stevenson Ranch, CA 91381-2281 |
| Nataly Ann Ochoa | Physical Therapy | Santa Clarita Valley Therapy Services | 25129 The Old Rd, Suite 100, Stevenson Ranch, CA 91381-2281 |
| Elia S Gris | Physical Therapy | Santa Clarita Valley Therapy Services | 25129 The Old Rd, Suite 100, Stevenson Ranch, CA 91381-2281 |
| Lorena Rios | Physical Therapy | Santa Clarita Valley Therapy Services | 25129 The Old Rd, Suite 100, Stevenson Ranch, CA 91381-2281 |
| Margaret A Forbes | Occupational Therapy | Santa Clarita Valley Therapy Services | 25129 The Old Rd, Suite 100, Stevenson Ranch, CA 91381-2281 |
| Derick Gharibian | Oral Surgery | Smile Focus Inc | 25856 Hemingway Ave, Stevenson Ranch, CA 91381-2319 |
| City | STEVENSON RANCH |
| Zip Code | 91381 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | STEVENSON RANCH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Damion David Rodeback.
| 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.