Jennifer M Eitel, MD | |
6611 Cedarwood Dr, Huntington Beach, CA 92648-6659 | |
(714) 308-6784 | |
Not Available |
Full Name | Jennifer M Eitel |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 6611 Cedarwood Dr, Huntington Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568588622 | NPI | - | NPPES |
198795002 | Medicaid | TX | |
198795003 | Medicaid | TX | |
LL1716 | Other | NV | MEDICAL LICENSE |
198795005 | Medicaid | TX | |
198795011 | Medicaid | TX | |
198795001 | Medicaid | TX | |
198795004 | Medicaid | TX | |
198795006 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | N1711 (Texas) | Secondary |
208000000X | Pediatrics | A104530 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Entity Name | Hoag Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936 |
Mailing Address | Practice Location Address |
---|---|
Jennifer M Eitel, MD 6611 Cedarwood Dr, Huntington Beach, CA 92648-6659 Ph: (714) 308-6784 | Jennifer M Eitel, MD 6611 Cedarwood Dr, Huntington Beach, CA 92648-6659 Ph: (714) 308-6784 |
Dr. Ann Ha, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17742 Beach Blvd Ste 360, Huntington Beach, CA 92647 Phone: 714-848-0868 Fax: 714-848-2248 | |
Rozita Pouroushasb, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 17742 Beach Blvd, Suite 360, Huntington Beach, CA 92647 Phone: 714-848-0868 Fax: 714-848-2248 | |
Dr. Kathleen S Lynch, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6151 Foxshield Dr, Huntington Beach, CA 92647 Phone: 714-848-3046 | |
Dr. Mohan Priyakantha Kumaratne, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17692 Beach Blvd, Ste. 200, Huntington Beach, CA 92647 Phone: 714-847-6975 Fax: 714-847-9727 | |
Melanie Tioleco-cheng, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18685 Main St Ste 101 Pmb 195, Huntington Beach, CA 92648 Phone: 714-964-3560 | |
Jerome H. Jones, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19066 Magnolia St., Huntington Beach, CA 92646 Phone: 714-968-0068 Fax: 714-378-2188 | |
Dr. Emily Edwards, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17762 Beach Blvd Ste 220, Huntington Beach, CA 92647 Phone: 714-848-0080 Fax: 714-665-4679 |