Dr Jeffrey Bob Virgin, MD, PHD | |
2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | |
(310) 225-3244 | |
(310) 698-7040 |
Full Name | Dr Jeffrey Bob Virgin |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 36 Years |
Location | 2374 E Pacifica Pl, Rancho Dominguez, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659460897 | NPI | - | NPPES |
1659460897 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0101X | Pathology - Anatomic Pathology | MD00028232 (Washington) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G156025 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Redlands Community Hospital | Redlands, CA | Hospital |
Loma Linda University Medical Center | Loma linda, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Affiliated Pathologists Medical Group, Inc. | 7315840535 | 40 |
Entity Name | Affiliated Pathologists Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730119553 PECOS PAC ID: 7315840535 Enrollment ID: O20040127000838 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Bob Virgin, MD, PHD 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 Ph: (310) 225-3244 | Dr Jeffrey Bob Virgin, MD, PHD 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 Ph: (310) 225-3244 |
Suchetha Adiga, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 | |
Daniel Real, MD Pathology Medicare: Medicare Enrolled Practice Location: 20001 S Rancho Way, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 | |
Dr. Jennifer F O'dell, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 | |
Dr. Nicolas Gallegos Ii, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 | |
Georgia Liles Tunstill, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7054 | |
Scott Binder, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-693-0718 Fax: 310-698-7040 | |
Dr. Nicholas Max Harding-jackson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 |