| Dr Krysta Iola Caingcoy, DPT | |
|
4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 | |
| (310) 822-0041 | |
| (310) 822-0049 |
| Full Name | Dr Krysta Iola Caingcoy |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4820 Lincoln Blvd, Marina Del Rey, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053697516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 38616 (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 |
|---|---|
| Dr Krysta Iola Caingcoy, DPT 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 Ph: (310) 822-0041 | Dr Krysta Iola Caingcoy, DPT 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 Ph: (310) 822-0041 |
Eva Nemeth, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008 | |
Destiny Thompson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4560 Admiralty Way Ste 300, Marina Del Rey, CA 90292 Phone: 310-273-0877 | |
Andrea Mathieux, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4820 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-392-7889 Fax: 310-822-0049 | |
Laurie Hubbard, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4702 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008 | |
Faye Gaitens, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4601 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008 | |
Frances B Gramaje, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4702 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-306-1478 Fax: 310-306-6008 |