Individual ProviderBrian A CardonaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8920 Wilshire Blvd, Suite 335, Beverly Hills, CA 90211-2007(310) 659-3018(800) 642-5031PECOS EnrollmentBased on the most recent information from CMS, provider Brian A Cardona does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1194975896Provider TypeIndividualFull NameCardona, Brian ATitleMr.CredentialMPTGenderMaleSole ProprietorNoEnumeration Date9/30/2008Last Updated9/30/2008Contact InformationPractice LocationPractice Address8920 Wilshire Blvd, Suite 335, Beverly Hills, CA 90211-2007Phone(310) 659-3018FaxUnlisted FaxMailing LocationMailing AddressPO Box 1565, Rancho Cucamonga, CA 91729-1565Phone(800) 642-5031FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT25959California