| Tamara S Enfiedjian, DPT | |
|
100 N Barranca St Ste 380, West Covina, CA 91791-1637 | |
| (626) 331-8355 | |
| (909) 890-4393 |
| Full Name | Tamara S Enfiedjian |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 100 N Barranca St Ste 380, West Covina, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588711105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT33394 (California) | Primary |
| Provider Name | Evergreen Physical Therapy Specialists Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346300670 PECOS PAC ID: 9537111745 Enrollment ID: O20050216000414 |
| Provider Name | United Therapy Network Incorporated |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1669691051 PECOS PAC ID: 9234022369 Enrollment ID: O20050615001046 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara S Enfiedjian, DPT 1845 Business Center Dr Ste 127, San Bernardino, CA 92408-3434 Ph: (909) 890-9030 | Tamara S Enfiedjian, DPT 100 N Barranca St Ste 380, West Covina, CA 91791-1637 Ph: (626) 331-8355 |
Marisa Vargas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 537a E Vine Ave, West Covina, CA 91790 Phone: 888-763-4963 Fax: 866-521-3578 | |
Nieves Daclison, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2443 Pauline St, West Covina, CA 91792 Phone: 626-757-6775 | |
Jung Hsuan (marisa) Lin, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1135 S Sunset Ave Ste 101, West Covina, CA 91790 Phone: 626-732-8351 | |
Keith Ponce, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-962-4011 | |
360 Wellness Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 501 S Vincent Ave, West Covina, CA 91790 Phone: 909-570-7787 | |
Hybrid Physical Therapy Rehabilitation Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3281 E Springcreek Rd, West Covina, CA 91791 Phone: 951-258-1800 | |
Juan Rodrigo Villanueva Iv, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 N Barranca St Ste 380, West Covina, CA 91791 Phone: 626-331-8355 Fax: 909-890-4393 |