Stacey Michelle Funk (NPI# 1821309006, PAC ID# 6507990405) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1821309006 |
| PAC ID by PECOS | 6507990405 |
| Professional Enrollment ID | I20111129000151 |
| Full Name | Stacey Michelle Funk |
| Organization Legal Name | PRO-HEALTH PHYSICAL THERAPY INC. |
| Address |
2850 Artesia Blvd Suite 207 Redondo Beach CA 90278-3413 |
| Phone Number | 3103714774 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3476581109 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2850 Artesia Blvd, Suite 207, Redondo Beach, CA 90278-3413 | 3103714774 | PRO-HEALTH PHYSICAL THERAPY INC. |
| Organization Legal Name | PRO-HEALTH PHYSICAL THERAPY INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniela Aleksich | Physical Therapy | Pro-health Physical Therapy Inc. | 2850 Artesia Blvd, Suite 207, Redondo Beach, CA 90278-3413 |
| Genevieve Ferland | Physical Therapy | Pro-health Physical Therapy Inc. | 2850 Artesia Blvd, Suite 207, Redondo Beach, CA 90278-3413 |
| Elaine Shuk Chan | Physical Therapy | Pro-health Physical Therapy Inc. | 2850 Artesia Blvd, Suite 207, Redondo Beach, CA 90278-3413 |
| Street Address |
2850 ARTESIA BLVD SUITE 207 |
| City | REDONDO BEACH |
| State | CA |
| Zip | 90278-3413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniela Aleksich | Physical Therapy | Pro-health Physical Therapy Inc. | 2850 Artesia Blvd, Suite 207, Redondo Beach, CA 90278-3413 |
| Roohbakhsh Maher | Podiatry | 2850 Artesia Blvd, Suite 204, Redondo Beach, CA 90278-3413 | |
| Theodore R Otvos | Psychologist, Clinical | 2850 Artesia Blvd, Suite 203b, Redondo Beach, CA 90278-3413 | |
| Peggy Gray Magnusson | Podiatry | 2850 Artesia Blvd, Suite 204, Redondo Beach, CA 90278-3413 | |
| Genevieve Ferland | Physical Therapy | Pro-health Physical Therapy Inc. | 2850 Artesia Blvd, Suite 207, Redondo Beach, CA 90278-3413 |
| Phillip E Darragh | Podiatry | Redondo Beach Podiatry Group, Inc. | 2850 Artesia Blvd, Suite 204, Redondo Beach, CA 90278-3413 |
| Elaine Shuk Chan | Physical Therapy | Pro-health Physical Therapy Inc. | 2850 Artesia Blvd, Suite 207, Redondo Beach, CA 90278-3413 |
| Monika E Jauregui | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 2850 Artesia Blvd, Suite 208, Redondo Beach, CA 90278-3413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa J Hedien | Physical Therapy | 1625 Aviation Blvd, Redondo Beach, CA 90278-2807 | |
| Russell P Knittel | Emergency Medicine | 1812 Artesia Blvd, Redondo Beach, CA 90278-2906 | |
| Gregory Ginsburg | General Surgery | 2512 Artesia Blvd, Suite 310, Redondo Beach, CA 90278-3274 | |
| Ray Daniel Pendergraft | Chiropractic | 2512 Artesia Blvd, Suite 230, Redondo Beach, CA 90278-3277 | |
| Roggielyz Padilla | Nurse Practitioner | Soma Medical Group | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 |
| Sohail Davoudian | Internal Medicine | Soma Medical Group | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 |
| Josephine R Cabugnason | Nurse Practitioner | Soma Medical Group | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 |
| Salahuddin S Aschrafnia | Family Practice | Soma Medical Group | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 |
| Ivor Meyerson | Optometry | 1815 Hawthorne Blvd, Suite 360, Redondo Beach, CA 90278-3445 | |
| Aprilyn Ann Stitt | Chiropractic | 1426 Aviation Blvd, Suite 202, Redondo Beach, CA 90278-4062 | |
| Find all physicians in zip 90278 | |||
| City | REDONDO BEACH |
| Zip Code | 90278 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | REDONDO BEACH + PHYSICAL THERAPY |
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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.