Bong Su Jang, DPT | |
415 E Avenida Pico Ste M, San Clemente, CA 92672-3800 | |
(949) 245-6581 | |
Not Available |
Full Name | Bong Su Jang |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 415 E Avenida Pico Ste M, San Clemente, 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 |
---|---|---|---|
1255961850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT296936 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
California Rehabilitation And Sports Therapy A California Physical The | 6709788896 | 124 |
Provider Name | California Rehabilitation & Sports Therapy A California Physical Ther |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386696409 PECOS PAC ID: 6709788896 Enrollment ID: O20040120001115 |
Mailing Address | Practice Location Address |
---|---|
Bong Su Jang, DPT 415 E Avenida Pico Ste M, San Clemente, CA 92672-3800 Ph: (949) 245-6581 | Bong Su Jang, DPT 415 E Avenida Pico Ste M, San Clemente, CA 92672-3800 Ph: (949) 245-6581 |
Jacqueline Michelle Alm, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673 Phone: 949-496-0122 | |
Holly K Finley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 647 Camino De Los Mares Ste 111, San Clemente, CA 92673 Phone: 949-240-0600 Fax: 949-240-7578 | |
Miss Allison Helen Tuten, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1000 Calle Amanecer, San Clemente, CA 92673 Phone: 949-498-5100 | |
Alisha Marie Rodriguez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 Calle De Los Molinos, San Clemente, CA 92672 Phone: 949-388-5692 | |
Roberta Rae Pennington, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 Via Callejon, Suite B, San Clemente, CA 92673 Phone: 949-498-5100 | |
Mary M. Reischl, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1151 Puerta Del Sol, Suite B, San Clemente, CA 92673 Phone: 949-481-0015 Fax: 949-481-5611 | |
Christina Virginia Howard, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 653 Camino De Los Mares, #110, San Clemente, CA 92673 Phone: 858-752-9422 |