Diana Webber, MPT | |
5916 Jaymills Ave, Long Beach, CA 90805-3432 | |
(619) 204-0768 | |
Not Available |
Full Name | Diana Webber |
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Gender | Female |
Speciality | Physical Therapist |
Location | 5916 Jaymills Ave, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750706701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40084 (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 |
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Diana Webber, MPT 5916 Jaymills Ave, Long Beach, CA 90805-3432 Ph: () - | Diana Webber, MPT 5916 Jaymills Ave, Long Beach, CA 90805-3432 Ph: (619) 204-0768 |
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