Michael Kenji Kubota, PT, DPT | |
2017 Palo Verde Ave Ste 101, Long Beach, CA 90815-3300 | |
(562) 493-5501 | |
Not Available |
Full Name | Michael Kenji Kubota |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 2017 Palo Verde Ave Ste 101, Long Beach, 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 |
---|---|---|---|
1053821157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 293374 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Select Cs Physical Therapy Pc | 1355742081 | 113 |
Provider Name | Select Cs Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043894090 PECOS PAC ID: 1355742081 Enrollment ID: O20210701000787 |
Mailing Address | Practice Location Address |
---|---|
Michael Kenji Kubota, PT, DPT 2017 Palo Verde Ave Ste 101, Long Beach, CA 90815-3300 Ph: (562) 493-5501 | Michael Kenji Kubota, PT, DPT 2017 Palo Verde Ave Ste 101, Long Beach, CA 90815-3300 Ph: (562) 493-5501 |
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Corine Cojocaru, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2017 Palo Verde Ave, 101, Long Beach, CA 90815 Phone: 562-493-5501 | |
Puchna Suos Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3008 Snowden Ave, Long Beach, CA 90808 Phone: 562-354-6163 | |
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