Jeffrey Lum, | |
1360 W 6th St Ste 210, San Pedro, CA 90732-3590 | |
(310) 548-3130 | |
Not Available |
Full Name | Jeffrey Lum |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1360 W 6th St Ste 210, San Pedro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376136366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 299662 (California) | Primary |
Provider Name | Praxis Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003960949 PECOS PAC ID: 7315134095 Enrollment ID: O20101207000739 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Lum, 921 S Amherst Cir, Anaheim, CA 92807-5001 Ph: () - | Jeffrey Lum, 1360 W 6th St Ste 210, San Pedro, CA 90732-3590 Ph: (310) 548-3130 |
Praxis Physical Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1360 W 6th St, #210 North Building, San Pedro, CA 90732 Phone: 310-548-3130 | |
Alice Wang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 W 6th St, Suite 101, San Pedro, CA 90731 Phone: 310-547-1850 | |
Eric K Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 W 6th St Ste 101, San Pedro, CA 90731 Phone: 310-547-1850 Fax: 310-547-1972 | |
Christopher Santos Canlas, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1294 W 6th St Ste 101, San Pedro, CA 90731 Phone: 310-547-1850 Fax: 310-547-1972 | |
Mr. Silverton Nguyen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 481 W 6th St, San Pedro, CA 90731 Phone: 424-536-3023 Fax: 424-536-3093 | |
Lisa J Shepard, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1294 West 6th Street, Suite 101, San Pedro, CA 90732 Phone: 310-547-1850 Fax: 310-547-1972 | |
Ma Christina Salgado-cortez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1176 W 14th St, San Pedro, CA 90731 Phone: 310-972-8049 |