| Shelly A Gadea, | |
|
24 Hammond, Unit C, Irvine, CA 92618-1680 | |
| (949) 770-6022 | |
| (949) 770-7084 |
| Full Name | Shelly A Gadea |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 24 Hammond, Irvine, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023344389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 36003 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly A Gadea, 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-5000 | Shelly A Gadea, 24 Hammond, Unit C, Irvine, CA 92618-1680 Ph: (949) 770-6022 |
Kimberly M. Maclean, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments 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 Koh, PT, DPT 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: May Accept Medicare Assignments 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 |
Timothy Rithy Mann, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17872 Gillette Ave Ste 210, Irvine, CA 92614 Phone: 949-777-5301 |
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 |