Dr Jennifer Tan Somsouk, MD | |
3801 Miranda Ave, Palo Alto, CA 94304-1207 | |
(650) 493-5000 | |
Not Available |
Full Name | Dr Jennifer Tan Somsouk |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 3801 Miranda Ave, Palo Alto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821163817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A84601 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer Tan Somsouk, MD 177 Meadowbrook Dr, San Francisco, CA 94132-1411 Ph: (415) 661-6222 | Dr Jennifer Tan Somsouk, MD 3801 Miranda Ave, Palo Alto, CA 94304-1207 Ph: (650) 493-5000 |
John Tate Higgins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Welch Rd Ste 350, Palo Alto, CA 94304 Phone: 650-723-6576 | |
Tonia R Fox, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3801 Miranda Ave, Mail Code 111er, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Erin Joyce Liang, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Palo Alto, CA 94304 Phone: 650-723-5111 | |
Terence Lee Ahern, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Palo Alto, CA 94304 Phone: 650-723-4000 | |
Dr. Robert Lee Norris Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Welch Rd, Suite C, Palo Alto, CA 94304 Phone: 650-725-9445 Fax: 650-723-0121 | |
Leigh Durlacher, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-2958 | |
Nathan Hornbostel, EMT Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3929 Nelson Dr, Palo Alto, CA 94306 Phone: 315-746-1474 |