| Aansi Shukla, | |
|
32565 Golden Lantern St Ste B270, Dana Point, CA 92629-3247 | |
| (657) 266-6019 | |
| Not Available |
| Full Name | Aansi Shukla |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 32565 Golden Lantern St Ste B270, Dana Point, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275381212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 18893 (California) | Primary |
| Provider Name | Radical Medical Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003695008 PECOS PAC ID: 3375999063 Enrollment ID: O20231101002194 |
| Mailing Address | Practice Location Address |
|---|---|
| Aansi Shukla, 32565 Golden Lantern St Ste B270, Dana Point, CA 92629-3247 Ph: () - | Aansi Shukla, 32565 Golden Lantern St Ste B270, Dana Point, CA 92629-3247 Ph: (657) 266-6019 |
Mark Vincent De Cecco, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25411 Sea Bluffs Dr, Dana Point, CA 92629 Phone: 949-541-2232 | |
Mr. Carey Jamison Bornhagen, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24242 La Cresta Dr, Dana Point, CA 92629 Phone: 949-496-3363 | |
Dennis Soltes, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25411 Sea Bluffs Dr, Dana Point, CA 92629 Phone: 949-234-3000 | |
Pacific Kids Occupational Therapy, Pc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 33912 Violet Lantern St Apt B, Dana Point, CA 92629 Phone: 608-279-1491 | |
Mrs. Lynn Marie Kyne, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 34016 Violet Lantern St Apt A, Dana Point, CA 92629 Phone: 949-280-4459 | |
Mrs. Tiffany Kelley Sampson, OTR L, BCP Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 24242 La Cresta Dr, Dana Point, CA 92629 Phone: 949-496-3363 |