| Saint Marina Physical Therapy, Inc. | |
|
113 Waterworks Way, Suite 230, Irvine, CA 92618-3167 | |
| (949) 770-1911 | |
| (949) 770-1985 |
| Full Name | Saint Marina Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 113 Waterworks Way, Irvine, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508929068 | NPI | - | NPPES |
| 7026695 | Other | CA | AETNA |
| 5623791 | Other | CA | FIRST HEALTH |
| ZZZ64156Z | Other | CA | BLUE SHIELD GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Wassiem Abdelmalek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174686539 PECOS PAC ID: 2567410137 Enrollment ID: I20050111000520 |
| Provider Name | Ereinee Abdelmalek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467515825 PECOS PAC ID: 3375591944 Enrollment ID: I20050112000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Marina Physical Therapy, Inc. 113 Waterworks Way, Suite 230, Irvine, CA 92618-3167 Ph: (949) 770-1911 | Saint Marina Physical Therapy, Inc. 113 Waterworks Way, Suite 230, Irvine, CA 92618-3167 Ph: (949) 770-1911 |
Kimberly M. Maclean, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606 Phone: 949-265-2442 Fax: 949-265-2448 | |
Ms. Luz O Blake, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 15715 Rockfield Boulevard, Suite 100, Irvine, CA 92618 Phone: 949-206-9100 Fax: 949-206-1648 | |
Davis Y Koh, DPT, MBA, GCS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9080 Irvine Center Dr, Irvine, CA 92618 Phone: 949-540-5641 | |
Denise Marie Lane, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4482 Barranca Pkwy Ste 195, Irvine, CA 92604 Phone: 949-679-3337 Fax: 949-679-3336 | |
Matthew Hoang, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17332 Von Karman Ave Ste 120, Irvine, CA 92614 Phone: 949-861-8600 | |
Shelly A Gadea, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24 Hammond, Unit C, Irvine, CA 92618 Phone: 949-770-6022 Fax: 949-770-7084 | |
Dr. Jason Ryan Smith, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17332 Von Karman Ave, Suite 120, Irvine, CA 92614 Phone: 949-861-8600 Fax: 949-861-8601 |