Gustavo Corona Jr, OTR/L is a
Occupational Therapist based in Sierra Madre, California. Gustavo Corona Jr is licensed to practice in California (license number 18371) and his current practice location is
245 W Sierra Madre Blvd # Ca91024, Sierra Madre, California. He can be reached at his office (for appointments etc.) via phone at
(626) 355-5700.
NPI number for Gustavo Corona Jr is 1629577127 and his current mailing address is 2130 Sawtelle Blvd Ste 300, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629577127.
Healthcare Provider's Profile
Full Name | Gustavo Corona Jr |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | 245 W Sierra Madre Blvd # Ca91024, Sierra Madre, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629577127
- Provider Enumeration Date: 02/09/2018
- Last Update Date: 06/12/2020
Medical Identifiers
Medical identifiers for Gustavo Corona Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629577127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 18371 (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. Gustavo Corona Jr 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 |
Gustavo Corona Jr, OTR/L 2130 Sawtelle Blvd Ste 300, Los Angeles, CA 90025-6266 Ph: (626) 589-0787 | Gustavo Corona Jr, OTR/L 245 W Sierra Madre Blvd # Ca91024, Sierra Madre, CA 91024-2355 Ph: (626) 355-5700 |
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