Kyle C Wung, PT | |
2630 San Gabriel Blvd, Suite 200, Rosemead, CA 91770-5204 | |
(626) 280-9968 | |
(877) 400-0565 |
Full Name | Kyle C Wung |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2630 San Gabriel Blvd, Rosemead, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518284496 | NPI | - | NPPES |
D7389128 | Other | CA | CA DRIVER'S LICENSE |
PT 29620 | Other | CA | CA PHYSICAL THERAPY BOARD |
AC13693 | Other | CA | CA ACUPUNCTURE BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 29620 (California) | Primary |
171100000X | Acupuncturist | AC13693 (California) | Secondary |
Provider Name | California Luna Care Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Mailing Address | Practice Location Address |
---|---|
Kyle C Wung, PT 2630 San Gabriel Blvd, Suite 200, Rosemead, CA 91770-5204 Ph: (626) 280-9968 | Kyle C Wung, PT 2630 San Gabriel Blvd, Suite 200, Rosemead, CA 91770-5204 Ph: (626) 280-9968 |
Miss Verna Siokon Yu, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3136 Del Mar Ave, Rosemead, CA 91770 Phone: 626-288-8353 Fax: 626-307-7181 | |
Ultimate Rehabilitation Clinic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2630 San Gabriel Blvd, Suite 104, Rosemead, CA 91770 Phone: 626-307-1718 | |
Wynn Medical Center Therapies Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9120 Valley Blvd, Rosemead, CA 91770 Phone: 626-316-8287 Fax: 626-573-0641 | |
Mr. Conrado M Palis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2630 San Gabriel Blvd, Suite 104, Rosemead, CA 91770 Phone: 626-307-1718 | |
Hung-en Chen, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8035 Hill Dr, Rosemead, CA 91770 Phone: 626-280-0774 | |
Ray Ming Ou, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2630 San Gabriel Blvd, Suite 103, Rosemead, CA 91770 Phone: 626-288-8180 Fax: 626-288-9180 | |
Karen Gayle Bayate, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3136 Del Mar Ave, Rosemead, CA 91770 Phone: 626-288-8353 |