Jimmy Moc, DPT | |
1111 N Brand Blvd Ste J&k, Glendale, CA 91202-3070 | |
(818) 244-0468 | |
Not Available |
Full Name | Jimmy Moc |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 1111 N Brand Blvd Ste J&k, Glendale, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396332151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 299499 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
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 |
---|---|
Jimmy Moc, DPT 1111 N Brand Blvd Ste J&k, Glendale, CA 91202-3070 Ph: () - | Jimmy Moc, DPT 1111 N Brand Blvd Ste J&k, Glendale, CA 91202-3070 Ph: (818) 244-0468 |
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