Dr Jonathan Seth Wilensky, MD | |
4510 Executive Dr, Suite 105, San Diego, CA 92121-3021 | |
(858) 945-5720 | |
Not Available |
Full Name | Dr Jonathan Seth Wilensky |
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Gender | Male |
Speciality | Plastic Surgery |
Location | 4510 Executive Dr, San Diego, 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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1871576470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208200000X | Plastic Surgery | A93345 (California) | Primary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | A93345 (California) | Secondary |
Entity Name | Grossman Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518916311 PECOS PAC ID: 8729090295 Enrollment ID: O20060627000168 |
Mailing Address | Practice Location Address |
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Dr Jonathan Seth Wilensky, MD 2867 Via Posada, La Jolla, CA 92037 Ph: (858) 945-5720 | Dr Jonathan Seth Wilensky, MD 4510 Executive Dr, Suite 105, San Diego, CA 92121-3021 Ph: (858) 945-5720 |
Vivian Jiayin Hu, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr # Mc8890, San Diego, CA 92103 Phone: 619-543-5887 | |
Jose De Jesus Rodriguez, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3023 Bunker Hill St Ste 204, San Diego, CA 92109 Phone: 858-483-0690 | |
Dr. Jose E. Otero, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 6367 Alvarado Ct, #104, San Diego, CA 92120 Phone: 619-229-1211 Fax: 619-229-1141 | |
Dr. Jennifer Dolmajian, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Dr. David Michael Kupfer, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3434 Midway Dr, Suite 2004, San Diego, CA 92110 Phone: 619-223-2271 Fax: 619-221-4456 | |
Dr. James J Chao, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Mail Code 8890, San Diego, CA 92103 Phone: 619-543-2696 | |
Katerina Maria Gallus, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8899 University Center Ln Ste 200, San Diego, CA 92122 Phone: 858-224-2281 Fax: 858-724-3020 |