| Ms Katrina Jean Mondejar Yan, OTR/L | |
|
740 S. Pacentia Ave., Ste 100, Placentia, CA 92870-6832 | |
| (714) 646-8318 | |
| (714) 646-8320 |
| Full Name | Ms Katrina Jean Mondejar Yan |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 740 S. Pacentia Ave., Placentia, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699145987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT15532 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Katrina Jean Mondejar Yan, OTR/L 740 S. Pacentia Ave., Ste 100, Placentia, CA 92870-6832 Ph: (714) 646-8318 | Ms Katrina Jean Mondejar Yan, OTR/L 740 S. Pacentia Ave., Ste 100, Placentia, CA 92870-6832 Ph: (714) 646-8318 |
Edith Anderson, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 774 S Placentia Ave Ste 200, Placentia, CA 92870 Phone: 760-220-8101 | |
Maureen Cook, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Golden Ave, Placentia, CA 92870 Phone: 714-993-2093 | |
Lorie Park, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 740 S. Placentia Ave., Placentia, CA 92870 Phone: 714-646-8318 Fax: 714-646-8320 | |
Patricia Kobata, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2031 E Orangethorpe Ave, Placentia, CA 92870 Phone: 714-279-4800 | |
Mrs. Adelina Rachi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 740 S. Placentia Ave., Suite 100, Placentia, CA 92870 Phone: 714-646-8318 | |
Doris Karen Billings, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Golden Ave, Placentia, CA 92870 Phone: 714-993-2093 | |
Mrs. Rose C. Lee, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 740 S Placentia Ave Ste 100, Placentia, CA 92870 Phone: 714-646-8318 |