Elise Sum, | |
1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | |
(626) 851-6215 | |
Not Available |
Full Name | Elise Sum |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1011 Baldwin Park Blvd, Baldwin Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487858668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 9112 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Elise Sum, 9629 Broadway, Temple City, CA 91780-3211 Ph: (602) 799-0832 | Elise Sum, 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-6215 |
Nora Pekarek, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14318 Ohio St, Baldwin Park, CA 91706 Phone: 626-960-1971 | |
Hillary Ramos, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13823 Durness St, Baldwin Park, CA 91706 Phone: 626-419-8690 | |
Sharon Chungha Kim, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3541 Puente Ave, Baldwin Park, CA 91706 Phone: 626-962-1043 | |
Victoria Jane Hechanova, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-5081 | |
Esther Kim, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14475 Garden View Ln, Baldwin Park, CA 91706 Phone: 818-751-3414 | |
Jasper Tucker Iii, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14148 Francisquito Ave, Baldwin Park, CA 91706 Phone: 626-388-2700 |