MEDICARE: DWIGHT BALDOMAN PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	28480	CA

General Provider Information

NPI Number	:	1730017096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DWIGHT BALDOMAN PT

Provider Business Mailing Address
First Line	:	609 N SPARKS ST
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-1851
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 BEVERLY BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90048-1804
Country	:	US
Telephone Number	:	310-423-9727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1154941441 — MICHAEL A SONSON MD
Practice Location Address:

8700 BEVERLY BLVD
WEST HOLLYWOOD, CA
90048-1804

Practice Phone: 310-423-6472
Practice Fax: 310-423-0148

1952838930 — NISHITA JAIN
Practice Location Address:

8700 BEVERLY BLVD
WEST HOLLYWOOD, CA
90048-1804

Practice Phone: 310-423-5581
Practice Fax: 310-423-0052

1730391020 — MRS. MICHELLE HOANGQUOCGIA D.O.
Practice Location Address:

8700 BEVERLY BLVD
WEST HOLLYWOOD, CA
90048-1804

Practice Phone: 310-423-5841
Practice Fax:

1013910983 — DENISE A BARBUTO M.D.
Practice Location Address:

8700 BEVERLY BLVD , RM 8725
WEST HOLLYWOOD, CA
90048-1804

Practice Phone: 310-423-6627
Practice Fax: 310-423-0170

1205839966 — FARNAZ DADMANESH M.D.
Practice Location Address:

8700 BEVERLY BLVD , RM 8725
WEST HOLLYWOOD, CA
90048-1804

Practice Phone: 310-423-6627
Practice Fax: 310-423-0170

Directions to “ DWIGHT BALDOMAN PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.