Jennifer T Donson, MD | |
25825 Vermont Ave, Harbor City, CA 90710-3518 | |
(310) 517-3150 | |
Not Available |
Full Name | Jennifer T Donson |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 25825 Vermont Ave, Harbor City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033174784 | NPI | - | NPPES |
2337Q1 | Other | NY | BLUECROSS BLUESHIELD |
02736890 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 236525-1 (New York) | Secondary |
207P00000X | Emergency Medicine | A91286 (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 |
Mailing Address | Practice Location Address |
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Jennifer T Donson, MD 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 517-3150 | Jennifer T Donson, MD 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 517-3150 |
James Daehyun Kim, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Kimberly M. Preciado, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Sasan Jahan-parwar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Vicente D. Sanchez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Dr. Vivian C Tsai, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Linda Chang Park, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 |