Kaleb Blair Cullison, PT DPT | |
277 Rancheros Dr Ste 150, San Marcos, CA 92069-2976 | |
(951) 379-1500 | |
Not Available |
Full Name | Kaleb Blair Cullison |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 277 Rancheros Dr Ste 150, San Marcos, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326306762 | NPI | - | NPPES |
0293956 | Other | CA | STATE OF WASHINGTON DEPT. OF LABOR AND INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 38863 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rancho Physical Therapy Inc | 2365346491 | 28 |
Provider Name | Rancho Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679541320 PECOS PAC ID: 2365346491 Enrollment ID: O20040127001225 |
Provider Name | Rancho Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1174591812 PECOS PAC ID: 2365346491 Enrollment ID: O20040511001756 |
Mailing Address | Practice Location Address |
---|---|
Kaleb Blair Cullison, PT DPT 23100 Eucalyptus Ave Ste C, Moreno Valley, CA 92553-5439 Ph: (951) 379-1500 | Kaleb Blair Cullison, PT DPT 277 Rancheros Dr Ste 150, San Marcos, CA 92069-2976 Ph: (951) 379-1500 |
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Carolyn Jessica Chan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2115 Montiel Rd Ste 103, San Marcos, CA 92069 Phone: 760-839-2905 Fax: 760-839-2901 | |
Lorraine Vivienne Levy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 Craven Rd, San Marcos, CA 92078 Phone: 760-510-5656 | |
Alexis Noel Adiarte, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 277 Rancheros Dr, Suite 150, San Marcos, CA 92069 Phone: 760-752-1011 Fax: 760-752-1311 |