| Joan Rae M Hermosura, PT | |
|
1526 N Edgemont St, Los Angeles, CA 90027-5260 | |
| (800) 954-8000 | |
| Not Available |
| Full Name | Joan Rae M Hermosura |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1526 N Edgemont St, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356751184 | NPI | - | NPPES |
| PT 41096 | Other | PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | PT 41096 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Joan Rae M Hermosura, PT 22858 Baywood Dr, Carson, CA 90745-4754 Ph: () - | Joan Rae M Hermosura, PT 1526 N Edgemont St, Los Angeles, CA 90027-5260 Ph: (800) 954-8000 |
Ajay K. Masih, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2080 Century Park East, Suite 707, Los Angeles, CA 90067 Phone: 310-553-0123 | |
Kenith K Paresa, MD Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 11600 Wilshire Blvd Ste 406, Los Angeles, CA 90025 Phone: 424-248-8325 Fax: 310-943-2161 | |
Dr. Dorene Lynne Opava-rutter, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd, Va Dept Of Pm&rs W117, Los Angeles, CA 90073 Phone: 310-478-3711 Fax: 310-268-4935 | |
Rommel Cruz Castro Jr., Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1640 Marengo St Ste 102, Los Angeles, CA 90033 Phone: 323-865-1200 | |
Neal K. Sheade, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011 | |
Daun Chung, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 420, Los Angeles, CA 90095 Phone: 310-206-6232 Fax: 310-206-3551 | |
Dr. Peter C Lee, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4805 Rosewood Ave, Los Angeles, CA 90004 Phone: 323-469-1000 Fax: 323-469-1101 |