Jerene Montelibano, | |
1642 W Avenue J, Lancaster, CA 93534-2814 | |
(661) 942-8463 | |
Not Available |
Full Name | Jerene Montelibano |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1642 W Avenue J, Lancaster, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336538743 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 37144 (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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Jerene Montelibano, 3535 Emerald Ln, Lancaster, CA 93535-6280 Ph: () - | Jerene Montelibano, 1642 W Avenue J, Lancaster, CA 93534-2814 Ph: (661) 942-8463 |
Maria Concepcion Tuico Perez, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44303 N. Lowtree Ave, Lancaster, CA 93534 Phone: 661-940-5494 Fax: 661-940-0825 | |
Antonette Ellesmere Distan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Arnica Ln, Lancaster, CA 93535 Phone: 818-601-9714 | |
Julian Blake Vanderlinden, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44303 Lowtree Ave, Lancaster, CA 93534 Phone: 661-940-5494 | |
Carol Louise Hawkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1306 W Avenue J Suite 2, Lancaster, CA 93534 Phone: 661-948-0186 Fax: 661-945-5736 | |
Mr. Gustavo Casas Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 43830 10th St W, Lancaster, CA 93534 Phone: 661-494-8600 | |
Lancaster Sports Medicine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 412 W Avenue J Ste E, Lancaster, CA 93534 Phone: 661-945-0884 | |
Dexter Maganda, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 412 W Avenue J, Lancaster, CA 93534 Phone: 661-945-0884 Fax: 661-942-9714 |