| Wilson Tran, | |
|
210 W College St, Covina, CA 91723-1902 | |
| (626) 967-7833 | |
| (626) 859-2633 |
| Full Name | Wilson Tran |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 210 W College St, Covina, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972148401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT297572 (California) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Tran, 210 W College St, Covina, CA 91723-1902 Ph: (626) 967-7833 | Wilson Tran, 210 W College St, Covina, CA 91723-1902 Ph: (626) 967-7833 |
Karen Ledesma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 E Rowland St, 331, Covina, CA 91723 Phone: 626-538-7675 | |
Calyn Carlton, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 W College St, Covina, CA 91723 Phone: 626-967-7833 | |
Marjorie Webster, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 414 E San Bernardino Rd, Covina, CA 91723 Phone: 626-367-3206 | |
Mr. Benjamin S. Medina, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 651 S Oak Tree Dr, Covina, CA 91723 Phone: 626-500-9324 | |
Lawrence W Carter A Physical Therapy Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 W College St, Covina, CA 91723 Phone: 626-967-7833 Fax: 626-859-2633 | |
Anjana Wilkerson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2550 E Ama Road, Suite A1b, Covina, CA 91792 Phone: 626-337-6335 Fax: 626-337-6365 | |
Miss Kathleen Marie Magnuson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 21042 E Arrow Hwy, Apt. 79, Covina, CA 91724 Phone: 541-231-3925 |