Monica Khechumian, PT, DPT | |
12811 Victory Blvd, North Hollywood, CA 91606-3012 | |
(323) 470-9846 | |
Not Available |
Full Name | Monica Khechumian |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 12811 Victory Blvd, North Hollywood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811623127 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 302098 (California) | Primary |
Provider Name | Jam Sports Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1962895805 PECOS PAC ID: 8921303959 Enrollment ID: O20160229001757 |
Mailing Address | Practice Location Address |
---|---|
Monica Khechumian, PT, DPT 1920 Melwood Dr, Glendale, CA 91207-1512 Ph: () - | Monica Khechumian, PT, DPT 12811 Victory Blvd, North Hollywood, CA 91606-3012 Ph: (323) 470-9846 |
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