| Dr Benneth Bundit Kim, PT, DPT | |
|
4200 Chino Hills Pkwy Ste 825, Chino Hills, CA 91709-5832 | |
| (310) 808-7612 | |
| Not Available |
| Full Name | Dr Benneth Bundit Kim |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4200 Chino Hills Pkwy Ste 825, Chino Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144945189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 302944 (California) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Fairbanks & Power Physical Therapy Corp |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1912953936 PECOS PAC ID: 6406843481 Enrollment ID: O20040429001591 |
| Provider Name | Fairbanks & Power Physical Therapy Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912953936 PECOS PAC ID: 6406843481 Enrollment ID: O20060623000176 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benneth Bundit Kim, PT, DPT 20516 Earl St, Torrance, CA 90503-3007 Ph: (310) 808-7612 | Dr Benneth Bundit Kim, PT, DPT 4200 Chino Hills Pkwy Ste 825, Chino Hills, CA 91709-5832 Ph: (310) 808-7612 |
Theresa Marie Lugatiman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5780 Fernwood Ct, Chino Hills, CA 91709 Phone: 714-488-6445 | |
Mr. Paul Winston Romero Halog, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3238 Oakleaf Ct, Chino Hills, CA 91709 Phone: 909-680-2869 Fax: 909-606-9492 | |
Mr. Eric John Mccabe, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3110 Chino Ave, Suite 130, Chino Hills, CA 91709 Phone: 909-902-5049 Fax: 909-902-5059 | |
Ehab M Elmehey, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6632 Coyote St, Chino Hills, CA 91709 Phone: 909-606-4849 | |
Srbouhi Huacuja, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15944 Los Serranos Country Club Dr Ste 250, Chino Hills, CA 91709 Phone: 909-907-0805 | |
Deanna Schmitt, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3110 Chino Ave, Suite 130, Chino Hills, CA 91709 Phone: 909-902-5049 Fax: 909-902-5059 |