| Alyssa Callanta, PT | |
|
1561 E Ontario Ave Ste 101, Corona, CA 92881-6663 | |
| (951) 407-9233 | |
| (951) 407-9235 |
| Full Name | Alyssa Callanta |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1561 E Ontario Ave Ste 101, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861214090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 306831 (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 |
|---|---|
| Alyssa Callanta, PT 13706 Turf Paradise St, Eastvale, CA 92880-3608 Ph: () - | Alyssa Callanta, PT 1561 E Ontario Ave Ste 101, Corona, CA 92881-6663 Ph: (951) 407-9233 |
Christine Marie Eddow, PT DPT OCS WCS CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2815 S Main St, Ste. 205, Corona, CA 92882 Phone: 951-475-1307 Fax: 951-475-1308 | |
Dr. Daphne Fajayan Bantigue, B.S., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Brunswick Cir, Corona, CA 92879 Phone: 909-762-4443 | |
Dr. Hannah Jona Kitch, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2815 S Main St Ste 205, Corona, CA 92882 Phone: 951-475-1307 | |
Mark Ibrahim, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 Viewcrest Ct, Corona, CA 92882 Phone: 347-817-0674 | |
Sean Yoosin Kim, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1561 E Ontario Ave Ste 101, Corona, CA 92881 Phone: 951-407-9233 | |
Brian Thio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 886 Magnolia Ave, Suite 100, Corona, CA 92879 Phone: 951-340-3402 Fax: 951-340-3416 | |
Joseph Christian Santiago, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 886 Magnolia Ave, Suite 100, Corona, CA 92879 Phone: 951-340-3402 Fax: 951-340-3416 |