MEDICARE: DIAMOND PHYSICAL THERAPY

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	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1902078579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAMOND PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	402 S PROSPECTORS RD
Second Line	:	SUITE E
City	:	DIAMOND BAR
State	:	CA
Zip	:	91765-1618
Country	:	US
Telephone Number	:	909-860-5382
Fax Number	:	909-860-5384

Provider Business Practice Location Address
First Line	:	402 S PROSPECTORS RD
Second Line	:	SUITE E
City	:	DIAMOND BAR
State	:	CA
Zip	:	91765-1618
Country	:	US
Telephone Number	:	909-860-5382
Fax Number	:	909-860-5384

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ESTELLA RECREO
Credential	:	PT
Telephone Number	:	909-860-5382

Provider Enumeration Date	:	03/24/2008
Last Update Date	:	03/24/2008

Similar Medicare Providers

1174522700 — LOTUS HEALTHCARE PARTNERS, INC
Practice Location Address:

402 S PROSPECTORS RD STE G
DIAMOND BAR, CA
91765-1618

Practice Phone: 909-396-7440
Practice Fax: 909-396-7488

1427146513 — MR. JONG E JEUNG DC
Practice Location Address:

402 S PROSPECTORS RD , D
DIAMOND BAR, CA
91765-1618

Practice Phone: 909-860-4307
Practice Fax: 909-860-1192

1528135431 — VNA OF GREATER LOS ANGELES, INC.
Practice Location Address:

402 S PROSPECTORS RD STE G-200
DIAMOND BAR, CA
91765-1618

Practice Phone: 310-853-1683
Practice Fax: 949-263-4762

1194997080 — JOVEL HERNANDEZ ANGELES PT
Practice Location Address:

402 S PROSPECTORS RD , SUITE E
DIAMOND BAR, CA
91765-1618

Practice Phone: 909-860-5382
Practice Fax: 909-860-5384

1689967630 — EXTENSIVE THERAPY CONNECTION AND SOLUTION
Practice Location Address:

1618 FOX GLEN DR
DIAMOND BAR, CA
91765-2929

Practice Phone: 951-332-7832
Practice Fax:

1437610029 — CHARLENE LOPEZ CELESTINO
Practice Location Address:

402 S PROSPECTORS RD STE I
DIAMOND BAR, CA
91765-1618

Practice Phone: 909-922-2497
Practice Fax:

Directions to “DIAMOND PHYSICAL THERAPY ” 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 © 2007-2025 (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.