| Boyu Cao, | |
|
10190 Culver Blvd, Culver City, CA 90232-3152 | |
| (310) 837-9700 | |
| Not Available |
| Full Name | Boyu Cao |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 10190 Culver Blvd, Culver City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407558372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 303623 (California) | Primary |
| Provider Name | Optc Westside Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1942209242 PECOS PAC ID: 1355394214 Enrollment ID: O20050302001085 |
| Provider Name | Women's Advantage Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396054953 PECOS PAC ID: 5698940138 Enrollment ID: O20111212000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Boyu Cao, 3827 Goldwyn Ter, Culver City, CA 90232-3103 Ph: (310) 748-5526 | Boyu Cao, 10190 Culver Blvd, Culver City, CA 90232-3152 Ph: (310) 837-9700 |
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