Mr Denver Eriguel Nino, OTD, OTR/L | |
12540 Oakcreek Ln, Cerritos, CA 90703-2042 | |
(562) 921-5116 | |
(562) 926-3930 |
Full Name | Mr Denver Eriguel Nino |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 12540 Oakcreek Ln, Cerritos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740532878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 9614 (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 |
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Mr Denver Eriguel Nino, OTD, OTR/L 12540 Oakcreek Ln, Cerritos, CA 90703-2042 Ph: (562) 921-5116 | Mr Denver Eriguel Nino, OTD, OTR/L 12540 Oakcreek Ln, Cerritos, CA 90703-2042 Ph: (562) 921-5116 |
Ann Marie Evidente, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12400 Elgers St, Cerritos, CA 90703 Phone: 562-682-1214 | |
Yi-tzu (christina) Chen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19116 Moorshire Pl, Cerritos, CA 90703 Phone: 248-635-1722 | |
Min Young Yoo, MSOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 18331 Gridley Rd Ste C, Cerritos, CA 90703 Phone: 562-317-4800 | |
Rajvi Patel, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18424 Bainbrook Ct, Cerritos, CA 90703 Phone: 562-896-5351 | |
Paula Waldrop, M.S., OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11337 183rd St, Cerritos, CA 90703 Phone: 949-599-0218 | |
Psalm Chang Ho, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13147 Palm Pl, Cerritos, CA 90703 Phone: 732-669-2552 | |
Irene Pringsulaka, M.A, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13326 Semora Pl, Cerritos, CA 90703 Phone: 562-884-2256 |