Peter Tam, PT | |
110 N La Brea Ave, Inglewood, CA 90301-1708 | |
(310) 419-3386 | |
Not Available |
Full Name | Peter Tam |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 31 Years |
Location | 110 N La Brea Ave, Inglewood, 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 |
---|---|---|---|
1407871585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT20182 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
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 |
---|---|
Peter Tam, PT 110 N La Brea Ave, Inglewood, CA 90301-1708 Ph: (310) 419-3386 | Peter Tam, PT 110 N La Brea Ave, Inglewood, CA 90301-1708 Ph: (310) 419-3386 |
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