| Jacob Lopez, DPT | |
|
9827 Walker St, Cypress, CA 90630-3826 | |
| (714) 220-9001 | |
| Not Available |
| Full Name | Jacob Lopez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 9827 Walker St, Cypress, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104670710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 305396 (California) | Primary |
| Provider Name | Select Cs Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043894090 PECOS PAC ID: 1355742081 Enrollment ID: O20210701000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Lopez, DPT 5530 Ackerfield Ave Unit 105, Long Beach, CA 90805-4905 Ph: () - | Jacob Lopez, DPT 9827 Walker St, Cypress, CA 90630-3826 Ph: (714) 220-9001 |
Tye Ichiro Masaki, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11105 Knott Ave, Suite A, Cypress, CA 90630 Phone: 714-893-7399 Fax: 714-893-7389 | |
Deanna Von Ibsch, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11105 Knott Ave, Suite A, Cypress, CA 90630 Phone: 714-893-7399 | |
Lauren Marie Wright, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4755 Katella Ave, Cypress, CA 90720 Phone: 657-206-8231 | |
Tina Lee, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11205 Knott Ave Ste E, Cypress, CA 90630 Phone: 714-893-7399 Fax: 714-893-7389 | |
Erin Bond, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11205 Knott Ave Ste E, Cypress, CA 90630 Phone: 714-893-7399 | |
Matthew Guevara, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9827 Walker St, Cypress, CA 90630 Phone: 714-220-9001 |