| Jennifer Nicole Wegner Fasching, PT, DPT | |
|
5759 La Jolla Blvd, La Jolla, CA 92037-7302 | |
| (858) 255-0092 | |
| Not Available |
| Full Name | Jennifer Nicole Wegner Fasching |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 5759 La Jolla Blvd, La Jolla, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073084653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT295187 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| 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 |
|---|---|
| Jennifer Nicole Wegner Fasching, PT, DPT 6815 Summit Ridge Way, San Diego, CA 92120-1740 Ph: () - | Jennifer Nicole Wegner Fasching, PT, DPT 5759 La Jolla Blvd, La Jolla, CA 92037-7302 Ph: (858) 255-0092 |
Vanessa Rose True, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9400 Campus Point Dr Fl 2, La Jolla, CA 92093 Phone: 858-543-0333 | |
Lisa Buth, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9850 Genesee Ave Ste 110, La Jolla, CA 92037 Phone: 858-626-5546 | |
Kathryn Mitchell Moscovitch, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4150 Regents Park Row, #365, La Jolla, CA 92037 Phone: 858-587-8669 Fax: 858-857-8675 | |
Katiya Karczewski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 855-543-0333 | |
William A Kosik, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 4150 Regents Park Row, #365, La Jolla, CA 92037 Phone: 858-657-8199 Fax: 858-657-8170 | |
Diana Jean Smith, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5632 La Jolla Blvd, La Jolla, CA 92037 Phone: 858-454-9355 Fax: 858-454-9305 |