Cristina Maria Provasoli, PT is a
Physical Medicine & Rehabilitation physician based in Playa Del Rey, California. Cristina Maria Provasoli is licensed to practice in California (license number 23872) and her current practice location is 8009 Hulbert Ave, Playa Del Rey, California. She can be reached at her office (for appointments etc.) via phone at
(310) 648-4045.
NPI number for Cristina Maria Provasoli is 1114554243 and her current mailing address is 8009 Hulbert Ave, Playa Del Rey, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114554243.
Physician's Profile
Full Name | Cristina Maria Provasoli |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 8009 Hulbert Ave, Playa Del Rey, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114554243
- Provider Enumeration Date: 03/26/2020
- Last Update Date: 03/26/2020
Medical Identifiers
Medical identifiers for Cristina Maria Provasoli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114554243 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 23872 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cristina Maria Provasoli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cristina Maria Provasoli, PT 8009 Hulbert Ave, Playa Del Rey, CA 90293-7939 Ph: (310) 648-4045 | Cristina Maria Provasoli, PT 8009 Hulbert Ave, Playa Del Rey, CA 90293-7939 Ph: (310) 648-4045 |
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