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6328 Fairmount Avenue, Suite 220, El Cerrito, CA 94530 | |
(510) 525-2700 | |
(510) 525-2716 |
Full Name | |
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Type | Facility |
Speciality | Occupational Therapist - Hand |
Location | 6328 Fairmount Avenue, El Cerrito, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1962560359 | NPI | - | NPPES |
ZZZ64665Z | Other | CA | ANTHEM BLUE CROSS |
Provider Name | Susan A Cupples |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780721803 PECOS PAC ID: 2567442031 Enrollment ID: I20040726000597 |
Provider Name | Katarina F Kantor |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770131864 PECOS PAC ID: 8123439155 Enrollment ID: I20201124001359 |
Provider Name | Ryan Chung |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194504878 PECOS PAC ID: 9638525959 Enrollment ID: I20231023003332 |
Mailing Address | Practice Location Address |
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6328 Fairmount Avenue, Suite 220, El Cerrito, CA 94530 Ph: (510) 525-2700 | 6328 Fairmount Avenue, Suite 220, El Cerrito, CA 94530 Ph: (510) 525-2700 |