Mr John K Obsenares, PT | |
1715 N Mar Vista Ave, Pasadena, CA 91104-1325 | |
(626) 791-4535 | |
(626) 791-4535 |
Full Name | Mr John K Obsenares |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1715 N Mar Vista Ave, Pasadena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124247077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT24094 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Mr John K Obsenares, PT 1715 N Mar Vista Ave, Pasadena, CA 91104-1325 Ph: (626) 791-4535 | Mr John K Obsenares, PT 1715 N Mar Vista Ave, Pasadena, CA 91104-1325 Ph: (626) 791-4535 |
Stephany Tritt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1158 E Colorado Blvd, Pasadena, CA 91106 Phone: 323-314-3415 Fax: 323-982-9018 | |
Tiffany Lorraine Waniczek-nowicki, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105 Phone: 626-683-8536 | |
Trenton Nakama, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1224 E Green St Fl 2, Pasadena, CA 91106 Phone: 626-356-4948 | |
Vincent Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Washington Blvd, Pasadena, CA 91107 Phone: 626-798-5074 Fax: 626-798-3210 | |
Andrew Cotham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Alessandro Pl, Suite A40, Pasadena, CA 91105 Phone: 323-401-1935 | |
Dr. Cameron Michael Hofer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 S Raymond Ave, Pasadena, CA 91105 Phone: 626-356-0599 | |
Ms. Salwa Seif El Deen Abdell Aal, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 E Walnut St, Suite A, Pasadena, CA 91106 Phone: 626-683-9959 Fax: 626-683-9969 |