Ulices Vazquez Soto, | |
227 N El Camino Real Ste 100, Encinitas, CA 92024-5821 | |
(760) 452-2640 | |
Not Available |
Full Name | Ulices Vazquez Soto |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 227 N El Camino Real Ste 100, Encinitas, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124886288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 305745 (California) | Primary |
Provider Name | G3 Physical Therapy And Wellness Center Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669845798 PECOS PAC ID: 6204139744 Enrollment ID: O20160118000036 |
Mailing Address | Practice Location Address |
---|---|
Ulices Vazquez Soto, 227 N El Camino Real Ste 100, Encinitas, CA 92024-5821 Ph: () - | Ulices Vazquez Soto, 227 N El Camino Real Ste 100, Encinitas, CA 92024-5821 Ph: (760) 452-2640 |
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Allen Namboothiri, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1092 N El Camino Real, Encinitas, CA 92024 Phone: 760-633-6507 | |
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Dr. Danae Narvaza, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 336 Encinitas Blvd Ste 210, Encinitas, CA 92024 Phone: 760-487-5118 |