Blake Martin Edward Parson, | |
10190 Culver Blvd, Culver City, CA 90232-3152 | |
(310) 837-9700 | |
(310) 837-9701 |
Full Name | Blake Martin Edward Parson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 10190 Culver Blvd, Culver City, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851803191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 293797 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Provider Name | Southern California Permanente Medical Group |
---|---|
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 |
---|---|
Blake Martin Edward Parson, 10190 Culver Blvd, Culver City, CA 90232-3152 Ph: (310) 837-9700 | Blake Martin Edward Parson, 10190 Culver Blvd, Culver City, CA 90232-3152 Ph: (310) 837-9700 |
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