Joan Rae M Hermosura, PT | |
1526 N Edgemont St, Los Angeles, CA 90027-5260 | |
(800) 954-8000 | |
Not Available |
Full Name | Joan Rae M Hermosura |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 1526 N Edgemont St, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356751184 | NPI | - | NPPES |
PT 41096 | Other | PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | PT 41096 (California) | Primary |
Entity Name | West Coast Spine Restoration Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992887616 PECOS PAC ID: 7214824648 Enrollment ID: O20040301001265 |
Entity Name | Edge Physical Therapy |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1427429554 PECOS PAC ID: 1254629736 Enrollment ID: O20191029002333 |
Mailing Address | Practice Location Address |
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Joan Rae M Hermosura, PT 22858 Baywood Dr, Carson, CA 90745-4754 Ph: () - | Joan Rae M Hermosura, PT 1526 N Edgemont St, Los Angeles, CA 90027-5260 Ph: (800) 954-8000 |
Ajay K. Masih, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2080 Century Park East, Suite 707, Los Angeles, CA 90067 Phone: 310-553-0123 | |
Kenith K Paresa, MD Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 6221 Wilshire Blvd, Suite 620, Los Angeles, CA 90048 Phone: 323-556-0090 Fax: 323-556-0094 | |
Dr. Dorene Lynne Opava-rutter, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd, Va Dept Of Pm&rs W117, Los Angeles, CA 90073 Phone: 310-478-3711 Fax: 310-268-4935 | |
Neal K. Sheade, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011 | |
Daun Chung, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2080 Century Park E Ste 300, Los Angeles, CA 90067 Phone: 424-363-1000 Fax: 424-522-7099 | |
Dr. Peter C Lee, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4805 Rosewood Ave, Los Angeles, CA 90004 Phone: 323-469-1000 Fax: 323-469-1101 | |
Behzad Emad, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5757 Wilshire Blvd, Suite 660, Los Angeles, CA 90036 Phone: 323-932-9880 Fax: 323-932-9829 |