Ms Elizabeth Kpachavi Restivo, OTD | |
10716 La Tuna Canyon Rd, Sun Valley, CA 91352-2130 | |
(818) 252-5863 | |
Not Available |
Full Name | Ms Elizabeth Kpachavi Restivo |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 10716 La Tuna Canyon Rd, Sun Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386982353 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 14905 (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 |
---|---|
Ms Elizabeth Kpachavi Restivo, OTD 15053 Blackhawk St, Mission Hills, CA 91345-2501 Ph: (818) 618-8455 | Ms Elizabeth Kpachavi Restivo, OTD 10716 La Tuna Canyon Rd, Sun Valley, CA 91352-2130 Ph: (818) 252-5863 |
Arman Tobakyan, MSOT, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 8401 Vine Valley Dr, Sun Valley, CA 91352 Phone: 818-767-8523 | |
Kristina Tanglimsamarnsuk, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10716 La Tuna Canyon Rd, Sun Valley, CA 91352 Phone: 818-252-5863 | |
Diana Okabe, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10716 La Tuna Canyon Rd, Sun Valley, CA 91352 Phone: 818-252-5863 | |
Kimberly Hasday, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10716 La Tuna Canyon Rd, Sun Valley, CA 91352 Phone: 818-252-6450 | |
Eunice Eugenio, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10716 La Tuna Canyon Rd, Sun Valley, CA 91352 Phone: 818-298-2764 |