| Gregory Scott Jack, MD | |
|
1260 15th St, 1200, Santa Monica, CA 90404-1135 | |
| (310) 794-7700 | |
| (310) 939-5302 |
| Full Name | Gregory Scott Jack |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1260 15th St, Santa Monica, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447503826 | NPI | - | NPPES |
| 1447503826 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | A83253 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Scott Jack, MD 200 Medical Plz, 140, Los Angeles, CA 90095-0001 Ph: (310) 825-1172 | Gregory Scott Jack, MD 1260 15th St, 1200, Santa Monica, CA 90404-1135 Ph: (310) 794-7700 |
Milton Krisiloff, MD Urology Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd, Suite 1165 W, Santa Monica, CA 90404 Phone: 310-829-7766 Fax: 310-453-1031 | |
Catherine C Gu, MD Urology Medicare: Medicare Enrolled Practice Location: 1260 15th St Ste 1200, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Mary Olubukola Fakunle, Urology Medicare: Medicare Enrolled Practice Location: 1260 15th St Ste 1200, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Mehran Movassaghi, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2001 Santa Monica Blvd Ste 460w, Santa Monica, CA 90404 Phone: 310-582-7333 Fax: 310-315-6157 | |
Stanley Allen Brosman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2021 Santa Monica Blvd, #510, Santa Monica, CA 90404 Phone: 310-828-8531 Fax: 310-829-1350 | |
Jesse N Mills, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1260 15th St, Suite 1200, Santa Monica, CA 90404 Phone: 310-451-8751 | |
Dr. Karyn S Eilber, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2020 Santa Monica Blvd., Suite 570, Santa Monica, CA 90404 Phone: 310-453-2061 Fax: 310-453-2161 |