| Dr Kelley Yin-ching Wung, DC, MSPT, LAC | |
|
12416 Clearglen Ave Apt 4, Whittier, CA 90604-3841 | |
| (323) 854-2353 | |
| Not Available |
| Full Name | Dr Kelley Yin-ching Wung |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 12416 Clearglen Ave Apt 4, Whittier, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982811378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC30509 (California) | Secondary |
| 171100000X | Acupuncturist | AC11614 (California) | Secondary |
| 225100000X | Physical Therapist | PT29435 (California) | Primary |
| Provider Name | Sand Coast Rehab Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelley Yin-ching Wung, DC, MSPT, LAC 12416 Clearglen Ave Apt 4, Whittier, CA 90604-3841 Ph: (323) 854-2353 | Dr Kelley Yin-ching Wung, DC, MSPT, LAC 12416 Clearglen Ave Apt 4, Whittier, CA 90604-3841 Ph: (323) 854-2353 |
Ms. Clytic Marie Villas Tesorio, PT-DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12411 Slauson Ave., Unit H, Whittier, CA 90606 Phone: 562-693-5449 Fax: 562-693-5469 | |
Aaron Chung, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12411 Slauson Ave, Unit H, Whittier, CA 90606 Phone: 562-693-5449 | |
Ms. Diana Alexandra Gutierrez, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12411 Slauson Ave Ste H, Whittier, CA 90606 Phone: 562-693-5449 Fax: 562-693-5449 | |
Raelene Martinez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12411 Slauson Ave, Whittier, CA 90606 Phone: 562-693-5449 | |
Mrs. Patricia Anne Lombardi, PHYSICAL THERAPY Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12411 Slauson Ave, Unit H, Whittier, CA 90606 Phone: 562-693-5449 Fax: 562-693-5469 | |
Dr. Imelda Rodriguez, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12411 Slauson Ave, Unit H, Whittier, CA 90606 Phone: 909-489-0866 | |
Gina A. Caquez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12482 Washington Blvd, Whittier, CA 90602 Phone: 562-693-6011 Fax: 562-693-6012 |