Jennifer Y Park, MD | |
625 S Fair Oaks Ave, Suite 255, Pasadena, CA 91105-2613 | |
(626) 304-2626 | |
(626) 585-0695 |
Full Name | Jennifer Y Park |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 625 S Fair Oaks Ave, Pasadena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467499228 | NPI | - | NPPES |
GR0101240 | Medicaid | CA | |
00A91570 | Medicaid | CA | |
GR0101241 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 2003004247 (Missouri) | Secondary |
207V00000X | Obstetrics & Gynecology | A91570 (California) | Primary |
Entity Name | Cedars-sinai Medical Care Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
Entity Name | Fair Oaks Women's Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700044435 PECOS PAC ID: 9032246103 Enrollment ID: O20100421000449 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Y Park, MD 625 S Fair Oaks Ave, Suite 255, Pasadena, CA 91105-2613 Ph: (626) 304-2626 | Jennifer Y Park, MD 625 S Fair Oaks Ave, Suite 255, Pasadena, CA 91105-2613 Ph: (626) 304-2626 |
Dr. Jonathan Nei-kim Tam, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 105 N Hill Ave Ste 203, Pasadena, CA 91106 Phone: 626-449-2800 Fax: 626-795-5145 | |
John Gordon Wilcox, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 333 S Arroyo Pkwy, Pasadena, CA 91105 Phone: 626-440-9161 Fax: 626-585-1603 | |
Megha Rajesh Patel, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10 Congress St Ste 505, Pasadena, CA 91105 Phone: 626-792-0110 | |
Emily Yvonne Chu, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 625 S Fair Oaks Ave Ste 255, Pasadena, CA 91105 Phone: 626-304-2626 Fax: 626-585-0695 | |
Paul Sc Lin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 960 E Green St Ste L-60, Pasadena, CA 91106 Phone: 626-793-3339 Fax: 626-793-3118 | |
Jeffrey Robert Nelson, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 333 S Arroyo Pkwy, Pasadena, CA 91105 Phone: 626-440-9161 Fax: 626-585-1603 | |
Dr. James Armen Macer, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10 Congress St, Suite 400, Pasadena, CA 91105 Phone: 626-449-6223 Fax: 626-449-0035 |