Masato Kobayashi, DPT | |
22 Lawrence Rd, Alameda, CA 94502-7743 | |
(619) 577-2331 | |
Not Available |
Full Name | Masato Kobayashi |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 22 Lawrence Rd, Alameda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639835721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 300936 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Masato Kobayashi, DPT 22 Lawrence Rd, Alameda, CA 94502-7743 Ph: (619) 577-2331 | Masato Kobayashi, DPT 22 Lawrence Rd, Alameda, CA 94502-7743 Ph: (619) 577-2331 |
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