| 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 | |
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 | |
Dr. Andrew Hua, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8399 Garvey Ave, Rosemead, CA 91770 Phone: 408-930-7034 | |
Karen Gayle Bayate, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3136 Del Mar Ave, Rosemead, CA 91770 Phone: 626-288-8353 |