Bryce Robert Kubo (NPI# 1346700218, PAC ID# 4486987047) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1346700218 |
| PAC ID by PECOS | 4486987047 |
| Professional Enrollment ID | I20190613000813 |
| Full Name | Bryce Robert Kubo |
| Organization Legal Name | PALOS VERDES REHABILITATION CLINIC INC |
| Address |
28924 S Western Ave Suite 101 Rancho Palos Verdes CA 90275-0813 |
| Phone Number | 3105480104 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 7911808001 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 28924 S Western Ave, Suite 101, Rancho Palos Verdes, CA 90275-0813 | 3105480104 | PALOS VERDES REHABILITATION CLINIC INC |
| Organization Legal Name | PALOS VERDES REHABILITATION CLINIC INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Gryder | Physical Medicine and Rehabilitation | Palos Verdes Rehabilitation Clinic Inc | 28924 S Western Ave, Suite 101, Rancho Palos Verdes, CA 90275-0813 |
| Brad Lee Thomas | Physical Therapy | Palos Verdes Rehabilitation Clinic Inc | 28924 S Western Ave, Suite 101, Rancho Palos Verdes, CA 90275-0813 |
| Jill Ann Nobilione-constable | Physical Therapy | Palos Verdes Rehabilitation Clinic Inc | 28924 S Western Ave, Suite 101, Rancho Palos Verdes, CA 90275-0813 |
| Alyson R Vasconcellos | Physical Therapy | Palos Verdes Rehabilitation Clinic Inc | 28924 S Western Ave, Suite 101, Rancho Palos Verdes, CA 90275-0813 |
| Street Address |
28924 S WESTERN AVE SUITE 101 |
| City | RANCHO PALOS VERDES |
| State | CA |
| Zip | 90275-0813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Gryder | Physical Medicine and Rehabilitation | Palos Verdes Rehabilitation Clinic Inc | 28924 S Western Ave, Suite 101, Rancho Palos Verdes, CA 90275-0813 |
| Brad Lee Thomas | Physical Therapy | Palos Verdes Rehabilitation Clinic Inc | 28924 S Western Ave, Suite 101, Rancho Palos Verdes, CA 90275-0813 |
| Majid Molaie | Neurology | 28924 S Western Ave, Suite 201, Rancho Palos Verdes, CA 90275-0814 | |
| Jill Ann Nobilione-constable | Physical Therapy | Palos Verdes Rehabilitation Clinic Inc | 28924 S Western Ave, Suite 101, Rancho Palos Verdes, CA 90275-0813 |
| Alyson R Vasconcellos | Physical Therapy | Palos Verdes Rehabilitation Clinic Inc | 28924 S Western Ave, Suite 101, Rancho Palos Verdes, CA 90275-0813 |
| David Chi | Chiropractic | 28924 S Western Ave, Suite 208, Rancho Palos Verdes, CA 90275-0814 | |
| Don K Rosas | Physical Therapy | Palos Verdes Rehabilitation Clinic | 28924 S Western Ave, Rancho Palos Verdes, CA 90275-0813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen A Garrett | Physical Therapy | 28901 S Western Ave, Suite 103, Rancho Palos Verdes, CA 90275-0001 | |
| Ghazaleh Monica Mahmoudi | Chiropractic | 29050 S Western Ave, Suite 152, Rancho Palos Verdes, CA 90275-0812 | |
| Ann L Christensen | Clinical Social Worker | 28631 S Western Ave, Suite 107, Rancho Palos Verdes, CA 90275-0816 | |
| Tim G Ursich | Chiropractic | 28633 S Western Ave, Suite 200, Rancho Palos Verdes, CA 90275-0817 | |
| Garrett A Hayes | Physical Therapy | Marina Sports Physical Therapy PC | 28633 S Western Ave, Suite 200, Rancho Palos Verdes, CA 90275-0817 |
| John L Fox | Physical Therapy | Marina Sports Physical Therapy PC | 28633 S Western Ave, Suite 200, Rancho Palos Verdes, CA 90275-0817 |
| Timothy J Ursich | Chiropractic | Tim G Ursich Chiropratic Inc | 28633 S Western Ave, Suite 200, Rancho Palos Verdes, CA 90275-0817 |
| Misun Chung Hifumi | Physical Therapy | 28633 S Western Ave, Suite 200, Rancho Palos Verdes, CA 90275-0817 | |
| Jean Cigliano | Physical Therapy | 28633 S Western Ave, Suite 200, Rancho Palos Verdes, CA 90275-0817 | |
| Mansoureh Barahemi | Chiropractic | 29050 S Western Ave, Suite 153, Rancho Palos Verdes, CA 90275-0821 | |
| Find all physicians in zip 90275 | |||
| City | RANCHO PALOS VERDES |
| Zip Code | 90275 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | RANCHO PALOS VERDES + PHYSICAL MEDICINE AND REHABILITATION |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.