Sean Marcel Boulanger (NPI# 1235671405, PAC ID# 8527349497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1235671405 |
| PAC ID by PECOS | 8527349497 |
| Professional Enrollment ID | I20170109000987 |
| Full Name | Sean Marcel Boulanger |
| Organization Legal Name | SOUTHLAND PHYSICAL THERAPY INC |
| Address |
2755 Bristol St Suite 130 Costa Mesa CA 92626-5985 |
| Phone Number | 7149662950 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9234297771 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2755 Bristol St, Suite 130, Costa Mesa, CA 92626-5985 | 7149662950 | SOUTHLAND PHYSICAL THERAPY INC |
| Organization Legal Name | SOUTHLAND PHYSICAL THERAPY INC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Vincent Hartsough | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Daniel Kanoa Bever | Physical Therapy | Southland Physical Therapy Inc | 25565 Jeronimo Rd, Mission Viejo, CA 92691-2707 |
| Jason H Park | Physical Therapy | Southland Physical Therapy Inc | 4482 Barranca Pkwy, Suite 195, Irvine, CA 92604-4706 |
| Josiah Leung | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Thomas Hoan Dinh | Physical Therapy | Southland Physical Therapy Inc | 4482 Barranca Pkwy, Suite 195, Irvine, CA 92604-4706 |
| Victoria Ton | Physical Therapy | Southland Physical Therapy Inc | 4482 Barranca Pkwy, Suite 195, Irvine, CA 92604-4706 |
| Cameron M Rau | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| William Buchanan Erb | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| James Kuan Lee | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Huimin Wu | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Street Address |
2755 BRISTOL ST SUITE 130 |
| City | COSTA MESA |
| State | CA |
| Zip | 92626-5985 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ami Gitesh Shah | Chiropractic | 2755 Bristol St, Suite 120, Costa Mesa, CA 92626-1208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan L Kaplan | Psychologist, Clinical | 780 Roosevelt, Suite 131, Irvine, CA 92626 | |
| Nancy D Young | Psychologist, Clinical | 3505 Cadillac Ave, Bldg O, Costa Mesa, CA 92626-1429 | |
| Stephenie Champlin | Clinical Social Worker | 3505 Cadillac Ave, Costa Mesa, CA 92626-1429 | |
| Farnoosh Tinoosh | Ophthalmology | 1503 S Coast Dr, Suite 120, Costa Mesa, CA 92626-1526 | |
| George Tun | Psychiatry | Mindful Health Solutions A Professional Medical Corporation | 1503 S Coast Dr, Suite 111, Costa Mesa, CA 92626-1526 |
| Ramin R Lavi | Chiropractic | 1503 S Coast Dr, Suite 109, Costa Mesa, CA 92626-1526 | |
| Dariush S Lavi | Internal Medicine | 1503 S Coast Dr, Suite 109, Costa Mesa, CA 92626-1526 | |
| Jeffrey Charles Kleis | Podiatry | 1503 S Coast Dr, Suite 317, Costa Mesa, CA 92626-1528 | |
| Daniel T Garcia | Chiropractic | 1503 S Coast Dr, 319 Garcia Chiropractic, Costa Mesa, CA 92626-1528 | |
| Jim S Seraj | Emergency Medicine | Orange County Urgent Care 3, Inc | 3195 Harbor Blvd, Suite 3, Costa Mesa, CA 92626-2514 |
| Find all physicians in zip 92626 | |||
| City | COSTA MESA |
| Zip Code | 92626 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | COSTA MESA + 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.