OrganizationLuz Lontoc Physical Therapy, IncPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1007 W La Palma Ave, Suite #4, Anaheim, CA 92801-3620(562) 682-7442PECOS EnrollmentBased on the most recent information from CMS, provider Luz Lontoc Physical Therapy, Inc 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 yesterday at 12:07 PM.Profile DetailsProvider ID1972706745Provider TypeOrganizationFull NameLuz Lontoc Physical Therapy, IncSubpartNoEnumeration Date6/7/2007Last Updated7/2/2008Contact InformationPractice LocationPractice Address1007 W La Palma Ave, Suite #4, Anaheim, CA 92801-3620Phone(562) 682-7442Fax(562) 596-0476Mailing LocationMailing Address1007 W La Palma Ave, Suite #4, Anaheim, CA 92801-3620Phone(562) 682-7442Fax(562) 596-0476Authorized OfficialNameLontoc-Cadiz, Luz M (Owner)Phone(562) 682-7442Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer