| Juan Carlos Bordes, OTR/L | |
|
10777 Poplar St Apt 207, Loma Linda, CA 92354-2249 | |
| (909) 446-2761 | |
| Not Available |
| Full Name | Juan Carlos Bordes |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 10777 Poplar St Apt 207, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942615109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 14426 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Carlos Bordes, OTR/L 10777 Poplar St, Apt. 207, Loma Linda, CA 92354-2245 Ph: (909) 446-2761 | Juan Carlos Bordes, OTR/L 10777 Poplar St Apt 207, Loma Linda, CA 92354-2249 Ph: (909) 446-2761 |
Ms. Randi Jeanne Walker, OTRL, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11406 Loma Linda Dr, West Entrance, Loma Linda, CA 92354 Phone: 909-558-6144 | |
Annamae Dorothy Northcott, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 25470 Cole St., Loma Linda, CA 92354 Phone: 909-427-7900 | |
Diana Beatrice Su-erickson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Dept Of Occupational Therapy 117b, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Donna Jean Wical, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Mr. Frank Rubio Iii, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084 | |
Caitlin Linas Medes, MOT, OTR/L, CPAM Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11406 Loma Linda Dr, Loma Linda, CA 92354 Phone: 909-558-6144 | |
Mr. Alexander Bruce Macgregor I, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 11053 San Juan St Apt B, Loma Linda, CA 92354 Phone: 818-933-1318 |