Randy Allen Herrera Hondo, PT | |
11100 Warner Ave, Suite 218, Fountain Valley, CA 92708-7506 | |
(714) 424-0290 | |
(714) 424-0278 |
Full Name | Randy Allen Herrera Hondo |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 11100 Warner Ave, Fountain Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386751816 | NPI | - | NPPES |
PT24918 | Other | CA | PHYSICAL THERAPY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT24918 (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 |
---|---|
Randy Allen Herrera Hondo, PT 149 W Desford St, Carson, CA 90745-1412 Ph: (714) 424-0290 | Randy Allen Herrera Hondo, PT 11100 Warner Ave, Suite 218, Fountain Valley, CA 92708-7506 Ph: (714) 424-0290 |
Miss Rachel Rebecca Buivids, M.S.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17272 Newhope St, Fountain Valley, CA 92708 Phone: 714-754-7268 Fax: 714-434-7042 | |
Dr. Alexander Minh Pham, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10900 Warner Ave Ste 117, Fountain Valley, CA 92708 Phone: 145-943-9727 Fax: 714-587-9670 | |
Mr. Kin Wai Wu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11160 Warner Ave Ste 311, Fountain Valley, CA 92708 Phone: 714-850-7300 | |
Mobilpt, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17272 Newhope St Ste G, Fountain Valley, CA 92708 Phone: 714-754-7268 | |
Emily Ferree, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17272 Newhope St, Fountain Valley, CA 92708 Phone: 714-292-2637 | |
Christine Weidemann, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10900 Warner Avenue #111, Fountain Valley, CA 92708 Phone: 714-964-3337 Fax: 714-964-8806 | |
Jason Minhthanh Duong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 18785 Brookhurst St, Fountain Valley, CA 92708 Phone: 657-301-4967 |