| Stephanie Chan, | |
|
10601 Walker St Ste 200, Cypress, CA 90630-4744 | |
| (714) 798-7900 | |
| Not Available |
| Full Name | Stephanie Chan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 10601 Walker St Ste 200, Cypress, 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 |
|---|---|---|---|
| 1194330753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT298726 (California) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 2000024479 (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optimum Physical Therapy | 1557427804 | 6 |
| Provider Name | Optimum Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356587687 PECOS PAC ID: 1557427804 Enrollment ID: O20090311000552 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Chan, 10601 Walker St Ste 200, Cypress, CA 90630-4744 Ph: Not Available | Stephanie Chan, 10601 Walker St Ste 200, Cypress, CA 90630-4744 Ph: (714) 798-7900 |
Tye Ichiro Masaki, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11105 Knott Ave, Suite A, Cypress, CA 90630 Phone: 714-893-7399 Fax: 714-893-7389 |
Miguel Ituralde, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10601 Walker St Ste 200, Cypress, CA 90630 Phone: 714-798-7900 |
Deanna Von Ibsch, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11105 Knott Ave, Suite A, Cypress, CA 90630 Phone: 714-893-7399 |
Lauren Marie Wright, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4755 Katella Ave, Cypress, CA 90720 Phone: 657-206-8231 |
Erika Dy Cobarrubias, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9827 Walker St, Cypress, CA 90630 Phone: 714-220-9001 |
Amanda Loera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9827 Walker St, Cypress, CA 90630 Phone: 714-220-9001 |
Tina Lee, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11205 Knott Ave Ste E, Cypress, CA 90630 Phone: 714-893-7399 Fax: 714-893-7389 |