| Andre Phonpradith, | |
|
9353 Imperial Hwy, Downey, CA 90242-2812 | |
| (562) 657-4110 | |
| Not Available |
| Full Name | Andre Phonpradith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 9353 Imperial Hwy, Downey, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609685304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | 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 |
|---|---|
| Andre Phonpradith, 10651 Hedlund Dr, Anaheim, CA 92804-5929 Ph: (714) 417-8115 | Andre Phonpradith, 9353 Imperial Hwy, Downey, CA 90242-2812 Ph: (562) 657-4110 |
Dr. Danny Hyun Kim, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9353 Imperial Hwy, Physical Therapy Gmo 3rd Floor, Downey, CA 90242 Phone: 562-657-2682 | |
Downey Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 11525 Brookshire Ave Ste 109, Downey, CA 90241 Phone: 562-861-0972 Fax: 562-862-6949 | |
Mr. Jonathan Bryant, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-401-6847 Fax: 562-401-6052 | |
Ashley Nicole Van Dyke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-385-6244 | |
Ashley Vinh Chang, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9353 Imperial Hwy, Downey, CA 90242 Phone: 833-574-2273 | |
Jalpa N Shah, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9449 Imperial Hwy, Garden Medical Office, 3rd Floor, Pm&r Dept., Downey, CA 90242 Phone: 562-657-2212 | |
Dr. Cheryl Blatt, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-401-7511 |