Stephanie D Hassibi, PT | |
4150 Regents Park Row, #365, La Jolla, CA 92037-9124 | |
(858) 587-8669 | |
(858) 587-8675 |
Full Name | Stephanie D Hassibi |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4150 Regents Park Row, La Jolla, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205010048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 22428 (California) | Primary |
Provider Name | California Luna Care Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Mailing Address | Practice Location Address |
---|---|
Stephanie D Hassibi, PT 5611 Palmer Way, Suite A, Carlsbad, CA 92010-7253 Ph: (760) 603-9166 | Stephanie D Hassibi, PT 4150 Regents Park Row, #365, La Jolla, CA 92037-9124 Ph: (858) 587-8669 |
Vanessa Rose True, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9400 Campus Point Dr Fl 2, La Jolla, CA 92093 Phone: 858-543-0333 | |
Lisa Buth, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9850 Genesee Ave Ste 110, La Jolla, CA 92037 Phone: 858-626-5546 | |
Kathryn Mitchell Moscovitch, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4150 Regents Park Row, #365, La Jolla, CA 92037 Phone: 858-587-8669 Fax: 858-857-8675 | |
Jennifer Nicole Wegner Fasching, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5759 La Jolla Blvd, La Jolla, CA 92037 Phone: 858-255-0092 | |
Katiya Karczewski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 855-543-0333 | |
William A Kosik, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 4150 Regents Park Row, #365, La Jolla, CA 92037 Phone: 858-657-8199 Fax: 858-657-8170 | |
Diana Jean Smith, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5632 La Jolla Blvd, La Jolla, CA 92037 Phone: 858-454-9355 Fax: 858-454-9305 |