Sehyuk Park, | |
8545 Sierra Ave, Fontana, CA 92335-3868 | |
(909) 365-3557 | |
(909) 658-8987 |
Full Name | Sehyuk Park |
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Gender | Male |
Speciality | Physical Therapist |
Location | 8545 Sierra Ave, Fontana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285320176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Prime Rehab Center Physical Therapy A Professional Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669914396 PECOS PAC ID: 0749561157 Enrollment ID: O20161223000059 |
Mailing Address | Practice Location Address |
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Sehyuk Park, 8545 Sierra Ave, Fontana, CA 92335-3868 Ph: () - | Sehyuk Park, 8545 Sierra Ave, Fontana, CA 92335-3868 Ph: (909) 365-3557 |
Sheila Ann Vanallen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Building 3a, Fontana, CA 92335 Phone: 909-427-7727 | |
Walter Tablante De Jesus, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13578 Hatcher Pl, Fontana, CA 92336 Phone: 909-641-1096 | |
Paula Ann Shearer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-4075 | |
Jeanie Salvador, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Avenue, Fontana, CA 92335 Phone: 909-427-7900 | |
Marissa Huma, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 951-295-4253 | |
Ing Chang, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-4075 | |
Dr. Candice Shearer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17284 Slover Ave, Fontana, CA 92337 Phone: 909-609-3800 |