Wendy Auyoung

Individual provider Active NPI Physical Therapist · Pacifica, CA

NPI 1154960235 · NPPES record last updated Sep 19, 2022

Key facts

NPI
1154960235
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
297909 (CA)
Practice address
385 Esplanade Ave
Pacifica, CA 94044-1882
Phone
(650) 993-5576
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 297909 CA Yes

Addresses

Primary practice location

385 Esplanade Ave
Pacifica, CA 94044-1882

Mailing address

718 39TH Ave
San Francisco, CA 94121-3414

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Other providers in Pacifica, CA

All providers in Pacifica, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.