| Addison Huong, | |
|
1189 W State St, Redlands, CA 92373-8123 | |
| (909) 307-9121 | |
| (909) 307-9161 |
| Full Name | Addison Huong |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1189 W State St, Redlands, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598140568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT42195 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Addison Huong, 1189 W State St, Redlands, CA 92373-8123 Ph: (909) 307-9121 | Addison Huong, 1189 W State St, Redlands, CA 92373-8123 Ph: (909) 307-9121 |
Elizabeth Shirley Cavazos, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Terracina Blvd, 202, Redlands, CA 92373 Phone: 909-792-9737 Fax: 909-798-8749 | |
Kunal Palta, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27431 San Bernardino Ave Apt 275, Redlands, CA 92374 Phone: 951-208-3636 | |
Frank Lee, Physical Therapist Medicare: Medicare Enrolled Practice Location: 25864 Business Center Dr Ste C, Redlands, CA 92374 Phone: 909-703-2465 | |
Melanie E. Fernando-reid, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1189 W State St, Redlands, CA 92373 Phone: 909-307-9121 Fax: 909-307-9161 | |
Inland Healthcare Management Group Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 256 Cajon St Ste G, Redlands, CA 92373 Phone: 909-810-0185 | |
Richard Lind, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Barton Rd, Ste B, Redlands, CA 92373 Phone: 909-255-1694 Fax: 909-307-0273 | |
Ms. Kristen Louise Sanders Wellborn, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 347 Arrowview Dr, Redlands, CA 92373 Phone: 909-793-9130 |