Marissa Huma, | |
9961 Sierra Ave, Fontana, CA 92335-6720 | |
(951) 295-4253 | |
Not Available |
Full Name | Marissa Huma |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 9961 Sierra Ave, Fontana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063183192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Marissa Huma, 10739 Champagne Rd, Rancho Cucamonga, CA 91737-6910 Ph: () - | Marissa Huma, 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (951) 295-4253 |
Sheila Ann Vanallen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Building 3a, Fontana, CA 92335 Phone: 909-427-7727 | |
Walter Tablante De Jesus, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13578 Hatcher Pl, Fontana, CA 92336 Phone: 909-641-1096 | |
Paula Ann Shearer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-4075 | |
Jeanie Salvador, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Avenue, Fontana, CA 92335 Phone: 909-427-7900 | |
Ing Chang, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-4075 | |
Dr. Candice Shearer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17284 Slover Ave, Fontana, CA 92337 Phone: 909-609-3800 |