| Coast Physical Therapy And Sports Medicine | |
|
8950 Villa La Jolla Dr Ste A125, La Jolla, CA 92037-1706 | |
| (858) 452-3502 | |
| (858) 452-3503 |
| Full Name | Coast Physical Therapy And Sports Medicine |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 8950 Villa La Jolla Dr Ste A125, La Jolla, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447512983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 30242 (California) | Primary |
| Provider Name | Andy Chang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659448694 PECOS PAC ID: 2466521109 Enrollment ID: I20080520000905 |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Physical Therapy And Sports Medicine 8950 Villa La Jolla Dr Ste A125, La Jolla, CA 92037-1706 Ph: (858) 452-3502 | Coast Physical Therapy And Sports Medicine 8950 Villa La Jolla Dr Ste A125, La Jolla, CA 92037-1706 Ph: (858) 452-3502 |
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 |