| Sun Koh, | |
|
1650 Los Gamos Dr, San Rafael, CA 94903-1850 | |
| (510) 365-2428 | |
| Not Available |
| Full Name | Sun Koh |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 2 Years |
| Location | 1650 Los Gamos Dr, San Rafael, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659260537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 27807 (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 |
|---|---|
| Sun Koh, 1108 Francisco St Apt A, Berkeley, CA 94702-1364 Ph: (510) 365-2428 | Sun Koh, 1650 Los Gamos Dr, San Rafael, CA 94903-1850 Ph: (510) 365-2428 |
Page Kennedy Bettencourt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Mount Whitney Dr, San Rafael, CA 94903 Phone: 408-666-8569 |
Mr. Peter Howell Behr Iii, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 234 N San Pedro Rd, San Rafael, CA 94903 Phone: 415-479-3450 |
Georgia Crowe, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Los Gamos Dr, San Rafael, CA 94903 Phone: 415-444-2000 |
Mrs. Mikelle Monique Romo, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1530 5th Ave, Suite E, San Rafael, CA 94901 Phone: 415-457-7745 Fax: 415-453-9685 |
Kristen Reay, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 234 N San Pedro Rd, San Rafael, CA 94903 Phone: 415-479-3450 |
Jane Mardelette Lim Obenieta, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Civic Center Dr Ste 300, San Rafael, CA 94903 Phone: 628-877-0040 |
Susan J Nissim, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Santiago Way, San Rafael, CA 94903 Phone: 415-302-8643 |