Abigail Estrada, | |
4201 W Chapman Ave, Orange, CA 92868-1505 | |
(855) 881-0752 | |
Not Available |
Full Name | Abigail Estrada |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4201 W Chapman Ave, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699546788 | 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: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Abigail Estrada, 4504 Cadison St, Torrance, CA 90503-1416 Ph: (424) 212-2439 | Abigail Estrada, 4201 W Chapman Ave, Orange, CA 92868-1505 Ph: (855) 881-0752 |
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