Takuma Richard Shito, DPT | |
341 Magnolia Ave, Suite 103, Corona, CA 92879-3330 | |
(951) 256-2827 | |
(951) 284-1666 |
Full Name | Takuma Richard Shito |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 341 Magnolia Ave, Corona, 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 |
---|---|---|---|
1699215087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 292862 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Corona Orthopaedic Associates Medical Group Inc | 0547243586 | 12 |
Entity Name | Corona Orthopaedic Associates Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598872657 PECOS PAC ID: 0547243586 Enrollment ID: O20040610000656 |
Mailing Address | Practice Location Address |
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Takuma Richard Shito, DPT 341 Magnolia Ave, Suite 103, Corona, CA 92879-3330 Ph: (951) 256-2827 | Takuma Richard Shito, DPT 341 Magnolia Ave, Suite 103, Corona, CA 92879-3330 Ph: (951) 256-2827 |
Kimberly Sneegas, P.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 20145 Kayne St, Corona, CA 92881 Phone: 951-818-4750 | |
Khuram A. Sial, M. D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1810 Fullerton Ave, Suite 104, Corona, CA 92881 Phone: 951-734-7246 Fax: 877-694-3331 | |
Jeremy Hector Reynoso, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 255 E Rincon St, Corona, CA 92879 Phone: 951-523-8509 Fax: 951-221-8475 |