Dr Jenna K Timboe, MD | |
1300 Avenida Vista Hermosa Ste 200, San Clemente, CA 92673-6338 | |
(949) 429-7700 | |
(949) 429-7704 |
Full Name | Dr Jenna K Timboe |
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Gender | Female |
Speciality | Pediatrics |
Location | 1300 Avenida Vista Hermosa Ste 200, San Clemente, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114362894 | NPI | - | NPPES |
1114362894 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A134953 (California) | Primary |
Entity Name | University Of California Irvine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598790529 PECOS PAC ID: 5395658181 Enrollment ID: O20031107000431 |
Entity Name | Emergency Medicine Specialists Of Orange County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740214733 PECOS PAC ID: 0840185005 Enrollment ID: O20040217000695 |
Mailing Address | Practice Location Address |
---|---|
Dr Jenna K Timboe, MD 505 S Main St, Suite 525, Orange, CA 92868-4509 Ph: (714) 456-5631 | Dr Jenna K Timboe, MD 1300 Avenida Vista Hermosa Ste 200, San Clemente, CA 92673-6338 Ph: (949) 429-7700 |
Dr. Katherine A Teeple, A84177 Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1031 Avenida Pico Ste 106, San Clemente, CA 92673 Phone: 949-373-1133 Fax: 949-373-1135 | |
Margaret Anne Vanblerk, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1300 Avenida Vista Hermosa, Suite 250, San Clemente, CA 92673 Phone: 949-429-7700 | |
Glenn Stewart Katz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3553 Camino Mira Costa, Suite D, San Clemente, CA 92672 Phone: 949-661-8014 | |
Mr. Amit Parag, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 657 Camino De Los Mares, Suite 243, San Clemente, CA 92673 Phone: 949-661-2455 Fax: 949-661-5751 | |
Mrs. Toral Parag, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 657 Camino De Los Mares, Suite 243, San Clemente, CA 92673 Phone: 949-661-2455 Fax: 949-661-5751 | |
Lauren Dwinell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1300 Avenida Vista Hermosa, Suite 250, San Clemente, CA 92673 Phone: 949-429-7700 |