Dr Jaclyn M Grentzer, MD, MSCI | |
10800 Magnolia Ave, Riverside, CA 92505-3043 | |
(833) 574-2273 | |
Not Available |
Full Name | Dr Jaclyn M Grentzer |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology - Complex Family Planning |
Location | 10800 Magnolia Ave, Riverside, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215240338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207VC0300X | Obstetrics & Gynecology - Complex Family Planning | A145051 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Dr Jaclyn M Grentzer, MD, MSCI 801 E Katella Ave, Anaheim, CA 92805-6614 Ph: () - | Dr Jaclyn M Grentzer, MD, MSCI 10800 Magnolia Ave, Riverside, CA 92505-3043 Ph: (833) 574-2273 |
Edward Anthony Matuga, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6405 Day St, Riverside, CA 92507 Phone: 951-697-5500 Fax: 951-697-5508 | |
Dr. Walter M Marcus, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8945 Magnolia Ave, #202, Riverside, CA 92503 Phone: 951-687-8945 Fax: 951-687-1042 | |
Dr. Diane Connelly, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Rmc-3, Rm. 3207, Riverside, CA 92505 Phone: 951-353-4912 Fax: 951-353-5838 | |
Richard Timothy Chen, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10800 Magnolia Ave, Department Of Ob-gyn, Riverside, CA 92505 Phone: 503-757-1195 | |
Dr. Nayeema Ahmed, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3975 Jackson St, Ste. #110, Riverside, CA 92503 Phone: 951-351-1071 Fax: 951-351-1207 | |
Bilal Rafic Kaaki, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6926 Brockton Ave Ste 4, Riverside, CA 92506 Phone: 844-400-2236 Fax: 951-382-4111 | |
Sudha Moola, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3975 Jackson St, Suite #208, Riverside, CA 92503 Phone: 951-732-7834 Fax: 951-352-7758 |