Crystal Moore, PT | |
25825 Vermont Ave, Harbor City, CA 90710-3518 | |
(310) 325-5111 | |
Not Available |
Full Name | Crystal Moore |
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Gender | Female |
Speciality | Physical Therapist |
Location | 25825 Vermont Ave, Harbor City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982887840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 33931 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Crystal Moore, PT 393 E Walnut St, 3rd Floor Phr Systems, Pasadena, CA 91188-0001 Ph: (000) 000-0000 | Crystal Moore, PT 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 325-5111 |
Janice E. Kuykendall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-257-5279 | |
Leslie Aileen Mukogawa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25825 S. Vermont Ave, Harbor City, CA 90710 Phone: 310-517-2944 | |
Kamren Ackerman, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 909-289-6200 | |
Nduka Kelechi Unaka, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1046 Oakhorne Drive, Harbor City, CA 90710 Phone: 310-756-7706 | |
Christina K Crawford, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 770-658-9104 | |
Eric William Neal, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Helen Zhang, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-257-5283 Fax: 310-517-2902 |