| Kira Conde, | |
|
4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 | |
| (310) 392-7889 | |
| Not Available |
| Full Name | Kira Conde |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 4820 Lincoln Blvd, Marina Del Rey, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942983770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 304451 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blake Physical Therapy Pc | 8729974001 | 8 |
| California Luna Care Physical Therapy Pc | 9638427834 | 626 |
| 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 |
| Provider Name | Blake Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750350476 PECOS PAC ID: 8729974001 Enrollment ID: O20040224000757 |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Provider Name | A Plus Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912485707 PECOS PAC ID: 1850722430 Enrollment ID: O20200521000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Kira Conde, 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 Ph: (310) 392-7889 | Kira Conde, 4820 Lincoln Blvd, Marina Del Rey, CA 90292-6917 Ph: (310) 392-7889 |
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 | |
Dr. Krysta Iola Caingcoy, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4820 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-822-0041 Fax: 310-822-0049 | |
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 |