Mina Sidarous, PT | |
3828 Schaufele Ave Ste 320, Long Beach, CA 90808-1793 | |
(562) 348-4588 | |
Not Available |
Full Name | Mina Sidarous |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 3828 Schaufele Ave Ste 320, 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 |
---|---|---|---|
1851866644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 043399-1 (New York) | Secondary |
225100000X | Physical Therapist | 300536 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Long Beach - Lakewood Orthopedic Institute | 0840282786 | 8 |
Provider Name | Long Beach - Lakewood Orthopedic Institute |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710020755 PECOS PAC ID: 0840282786 Enrollment ID: O20040331001691 |
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 |
---|---|
Mina Sidarous, PT Po Box 15848, Newport Beach, CA 92659-5848 Ph: () - | Mina Sidarous, PT 3828 Schaufele Ave Ste 320, Long Beach, CA 90808-1793 Ph: (562) 348-4588 |
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