| Erica Maria Pueblos, | |
|
5607 Piercy Ave, Lakewood, CA 90712-1465 | |
| (310) 283-9914 | |
| Not Available |
| Full Name | Erica Maria Pueblos |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 5607 Piercy Ave, Lakewood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063066918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0019X | Occupational Therapist - Physical Rehabilitation | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 20020 (California) | Primary |
| Provider Name | Optimum Care Physical Therapy Services |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1700215316 PECOS PAC ID: 1153320239 Enrollment ID: O20061219000384 |
| Provider Name | Rehab Specialists Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1487717153 PECOS PAC ID: 7810071958 Enrollment ID: O20080227000489 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Maria Pueblos, 5607 Piercy Ave, Lakewood, CA 90712-1465 Ph: (310) 283-9914 | Erica Maria Pueblos, 5607 Piercy Ave, Lakewood, CA 90712-1465 Ph: (310) 283-9914 |
Pradipta Kumar Sahu, MS, OTR, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3650 South St Ste 204, Lakewood, CA 90712 Phone: 562-444-0100 Fax: 855-608-0788 | |
Mrs. Adria Cromosini, MS, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5228 Bellflower Blvd, Lakewood, CA 90713 Phone: 310-748-4307 | |
Mariza Trujillo, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12537 Stillman St, Lakewood, CA 90715 Phone: 213-798-1384 | |
Yevgeny Edd Jozef Marababol Medalle, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3300 E South St Ste 203, Lakewood, CA 90805 Phone: 562-512-3320 | |
Mrs. Pooja P. Mishrekar, O.T.R./L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12632 Renville St, Lakewood, CA 90715 Phone: 562-860-9478 Fax: 562-492-6970 | |
Renee Figueira, OTR/CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6149 Elsa St, Lakewood, CA 90713 Phone: 562-425-2995 |