| Brandon Yi, | |
|
12703 Cerise Ave, Hawthorne, CA 90250-4805 | |
| (424) 297-3600 | |
| Not Available |
| Full Name | Brandon Yi |
|---|---|
| Gender | Facility |
| Speciality | Physical Therapist |
| Location | 12703 Cerise Ave, Hawthorne, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053112581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT307787 (California) | Primary |
| Provider Name | Evolution Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174601116 PECOS PAC ID: 0244336964 Enrollment ID: O20070426000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Yi, 3128 Champion St, Chino Hills, CA 91709-5175 Ph: (909) 969-1391 | Brandon Yi, 12703 Cerise Ave, Hawthorne, CA 90250-4805 Ph: (424) 297-3600 |
Caitlin Rose Parr, DPT,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11840 S La Cienega Blvd, Hawthorne, CA 90250 Phone: 424-269-3400 Fax: 310-822-5451 | |
Mr. Joseph M Nespoli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13405 Inglewood Ave, Suite 6, Hawthorne, CA 90250 Phone: 310-263-7140 Fax: 310-273-7232 | |
Mr. Brandt Clark, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14650 Aviation Blvd, #100, Hawthorne, CA 90250 Phone: 310-725-9018 Fax: 310-325-3041 | |
Kayee Xiong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11840 S La Cienega Blvd, Hawthorne, CA 90250 Phone: 310-269-3400 Fax: 310-882-5451 | |
Jennifer Andre, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11840 S La Cienega Blvd, Hawthorne, CA 90250 Phone: 424-226-9340 Fax: 310-882-5451 | |
Philip Cordova, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11633 Hawthorne Blvd, Suite 201, Hawthorne, CA 90250 Phone: 310-263-1632 Fax: 310-263-1652 |