| Brandon Wong, | |
|
23133 Hawthorne Blvd, Suite 104, Torrance, CA 90505-3729 | |
| (310) 373-3181 | |
| (310) 373-3190 |
| Full Name | Brandon Wong |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 23133 Hawthorne Blvd, Torrance, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457715013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 291207 (California) | Primary |
| Provider Name | Abs Enterprises Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1043259435 PECOS PAC ID: 2668413493 Enrollment ID: O20050520001062 |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Wong, 23133 Hawthorne Blvd, Suite 104, Torrance, CA 90505-3729 Ph: (310) 373-3181 | Brandon Wong, 23133 Hawthorne Blvd, Suite 104, Torrance, CA 90505-3729 Ph: (310) 373-3181 |
Jessica Dimaunahan Sison, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21825 Hawthorne Blvd, Torrance, CA 90503 Phone: 310-542-5878 | |
Thomas James Cipolla, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2355 Crenshaw Blvd Ste 130, Torrance, CA 90501 Phone: 310-539-8800 Fax: 424-203-8389 | |
Henrey Dwight Kelsey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3500 Lomita Blvd, Ste M100, Torrance, CA 90505 Phone: 310-325-7404 Fax: 310-325-4971 | |
Dr. Noelle Gilson Budrovich, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2842 Sepulveda Blvd, Torrance, CA 90505 Phone: 310-325-0800 Fax: 310-325-7705 | |
Jennifer B. Stahl, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3858 W Carson St, Suite 121, Torrance, CA 90503 Phone: 310-543-9333 Fax: 310-405-0954 | |
Greg Edward Petersen, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3878 W Carson St, Suite 100, Torrance, CA 90503 Phone: 310-543-4655 Fax: 310-543-1743 | |
Torrance Orthopedic Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23456 Hawthorne Blvd, Suite 300 B, Torrance, CA 90505 Phone: 310-540-7381 Fax: 310-316-1788 |