| Ms Vicki Lynn Beane, OTR L | |
|
9161 Sierra Ave, Suiet 111, Fontana, CA 92335-4729 | |
| (909) 427-4073 | |
| (909) 427-4736 |
| Full Name | Ms Vicki Lynn Beane |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 9161 Sierra Ave, Fontana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972726255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Vicki Lynn Beane, OTR L 738 Greenwood Ave, San Bernardino, CA 92407-1008 Ph: (909) 880-1655 | Ms Vicki Lynn Beane, OTR L 9161 Sierra Ave, Suiet 111, Fontana, CA 92335-4729 Ph: (909) 427-4073 |
Pedro Campos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15324 Palm Leaf Ln, Fontana, CA 92336 Phone: 323-807-2654 | |
Mrs. Kathryn Mary Foster, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-4073 | |
Patricia Lotich, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9985 Sierra Ave, Fontana, CA 92335 Phone: 909-427-6996 | |
Mr. Gerald Arafol, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9985 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3945 | |
Alice Wong, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 888-232-3030 | |
Margaret Mclaughlin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9985 Sierra Ave, Fontana, CA 92335 Phone: 909-427-6996 | |
Hazel Marlene Carter, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-6939 |