Carlyn Wagner, | |
23271 Verdugo Dr, #b, Laguna Hills, CA 92653-1347 | |
(949) 707-5555 | |
Not Available |
Full Name | Carlyn Wagner |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 23271 Verdugo Dr, Laguna Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679789317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 26019 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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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 |
---|---|
Carlyn Wagner, 981 N Vulcan Ave, #5, Encinitas, CA 92024-1720 Ph: (760) 815-2198 | Carlyn Wagner, 23271 Verdugo Dr, #b, Laguna Hills, CA 92653-1347 Ph: (949) 707-5555 |
Kaylie Fisher, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24422 Avenida De La Carlota Ste 190, Laguna Hills, CA 92653 Phone: 949-340-6927 | |
Cathy Ryu Premysler, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24012 Calle De La Plata, Suite 355, Laguna Hills, CA 92653 Phone: 949-916-1654 | |
Bianca Steffen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24422 Avenida De La Carlota Ste 100, Laguna Hills, CA 92653 Phone: 949-716-2730 | |
Nancy Melinda Guttry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23193 La Cadena Dr, 102, Laguna Hills, CA 92653 Phone: 310-717-6801 | |
Mrs. Michelle M Farrell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23961 Calle De La Magdalena, Saddleback Medical Group, Inc, Suite 130, Laguna Hills, CA 92653 Phone: 949-588-8700 Fax: 949-465-8159 | |
Kathleen Monahan Naficy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24422 Avenida De La Carlota Ste 165, Laguna Hills, CA 92653 Phone: 949-951-2770 Fax: 949-951-2976 | |
La Paz Chiropractic And Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25200 La Paz Rd, Suite 102, Laguna Hills, CA 92653 Phone: 949-770-8767 Fax: 949-770-0836 |