Kathleen J. Grace Rpt Apc | |
8929 University Center Ln, Ste # 200, San Diego, CA 92122-1006 | |
(858) 457-3545 | |
(858) 457-0976 |
Full Name | Kathleen J. Grace Rpt Apc |
---|---|
Type | Facility |
Speciality | Physician Assistant - Surgical |
Location | 8929 University Center Ln, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740201730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9486PT (California) | Primary |
363AS0400X | Physician Assistant - Surgical | 473 (California) | Primary |
Provider Name | Kevin Dean Brown |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750502613 PECOS PAC ID: 0345210324 Enrollment ID: I20070625000426 |
Provider Name | Kathleen J Grace |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114977980 PECOS PAC ID: 7012909203 Enrollment ID: I20120419000739 |
Provider Name | Meghan L Burris |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730444951 PECOS PAC ID: 5799930731 Enrollment ID: I20130225000211 |
Provider Name | Jayme L Cargnoni |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1164079109 PECOS PAC ID: 3577894880 Enrollment ID: I20191016003481 |
Provider Name | Kevin Singer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831554559 PECOS PAC ID: 6800221334 Enrollment ID: I20200110001183 |
Provider Name | Maria Sophia Mcmillan |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104509405 PECOS PAC ID: 3779938881 Enrollment ID: I20231010002169 |
Mailing Address | Practice Location Address |
---|---|
Kathleen J. Grace Rpt Apc 8929 University Center Ln, Ste # 200, San Diego, CA 92122-1006 Ph: (858) 457-3545 | Kathleen J. Grace Rpt Apc 8929 University Center Ln, Ste # 200, San Diego, CA 92122-1006 Ph: (858) 457-3545 |