| Mavis Ching, OTR | |
|
710 Lawrence Expy, Santa Clara, CA 95051-5173 | |
| (408) 236-5755 | |
| Not Available |
| Full Name | Mavis Ching |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 710 Lawrence Expy, Santa Clara, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104971522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT 1788 (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 |
|---|---|
| Mavis Ching, OTR 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 236-5755 | Mavis Ching, OTR 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 236-5755 |
Ms. Mary Julie Digeronimo, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 900 Kiely Blvd, Santa Clara, CA 95051 Phone: 408-851-8350 | |
Christine Strode, OT/L, CMC Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 669-600-7258 | |
Sarah Faith Innocenti, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1480 | |
Miss Erica Renee Fahmy, MA, OTR/L, PAM, SWC Occupational Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1459 | |
Danielle Borras, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1880 Pruneridge Ave, Santa Clara, CA 95050 Phone: 408-245-3400 | |
Audrey Vl Suciu, M.S.,O.T.R.,L.,C.H.T Occupational Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Dept. 174 And 290, Santa Clara, CA 95051 Phone: 408-851-1461 | |
Nicole Lai, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2580 Lafayette St, Santa Clara, CA 95050 Phone: 408-743-5332 |