| California State University Long Beach | |
|
1250 N Bellflower Blvd, Kin-105, Long Beach, CA 90840-0004 | |
| (562) 985-8286 | |
| Not Available |
| Full Name | California State University Long Beach |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1250 N Bellflower Blvd, Long Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861824518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Susan Mais- Requejo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730383506 PECOS PAC ID: 1951448638 Enrollment ID: I20091029000088 |
| Provider Name | Scott Ken Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447647912 PECOS PAC ID: 1254663388 Enrollment ID: I20191023000350 |
| Provider Name | Megan L. Golden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952313405 PECOS PAC ID: 3779589403 Enrollment ID: I20191123000096 |
| Provider Name | Steven Ryan Tran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558993147 PECOS PAC ID: 4981035870 Enrollment ID: I20200508001614 |
| Provider Name | Lena Parker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215676523 PECOS PAC ID: 8426439944 Enrollment ID: I20220714003783 |
| Provider Name | Edward Albert Fu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760100267 PECOS PAC ID: 1850777624 Enrollment ID: I20220930002342 |
| Provider Name | David Phong Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902634462 PECOS PAC ID: 8123550522 Enrollment ID: I20241010000064 |
| Mailing Address | Practice Location Address |
|---|---|
| California State University Long Beach 1250 N Bellflower Blvd, Kin-105, Long Beach, CA 90840-0004 Ph: (562) 985-8286 | California State University Long Beach 1250 N Bellflower Blvd, Kin-105, Long Beach, CA 90840-0004 Ph: (562) 985-8286 |
Marissa Dela Cruz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1520 W 31st St, Long Beach, CA 90810 Phone: 562-216-3163 | |
Rubin Lever, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4028 E Broadway, Long Beach, CA 90803 Phone: 562-433-4331 Fax: 562-433-4336 | |
Ms. Joanne Long, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Long Beach, CA 90822 Phone: 562-826-5555 | |
Corine Cojocaru, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2017 Palo Verde Ave, 101, Long Beach, CA 90815 Phone: 562-493-5501 | |
Puchna Suos Davis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3008 Snowden Ave, Long Beach, CA 90808 Phone: 562-354-6163 | |
Nover Kabamalan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 260 E Market St, Long Beach, CA 90805 Phone: 562-428-4681 | |
Christopher Thomas Strain, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 425-241-8516 |