| Dr Eyad Jabra Kawwa, PT, DPT | |
|
710 Lawrence Expy, Santa Clara, CA 95051-5173 | |
| (909) 203-2683 | |
| Not Available |
| Full Name | Dr Eyad Jabra Kawwa |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 710 Lawrence Expy, Santa Clara, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124638465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT298462 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| 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 |
|---|---|
| Dr Eyad Jabra Kawwa, PT, DPT 1518 Conestoga Ct, Redlands, CA 92373-4830 Ph: (909) 203-2683 | Dr Eyad Jabra Kawwa, PT, DPT 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (909) 203-2683 |
Mrs. Bridget M. Bouyssounouse, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Dept. #174, Santa Clara, CA 95051 Phone: 408-851-1466 | |
Karissa Taan, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1492 | |
Darlene Alexandria Remo Villatuya, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 710 Lawrence Expy Dept 174, Santa Clara, CA 95051 Phone: 408-851-1400 | |
Chelsea Bendebel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 Lafayette St Ste 105, Santa Clara, CA 95050 Phone: 408-293-7794 | |
Dr. James Purayampallil Gipson, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1026 Monroe St, Santa Clara, CA 95050 Phone: 408-246-5861 | |
Brooke Noelle Strishock, Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Dept 174, Santa Clara, CA 95051 Phone: 408-851-4000 | |
Linda Trinh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1400 |