Jessica Lely Cao, | |
16500 Ventura Blvd Ste 250, Encino, CA 91436-2018 | |
(818) 788-9333 | |
Not Available |
Full Name | Jessica Lely Cao |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 8 Years |
Location | 16500 Ventura Blvd Ste 250, Encino, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417301227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 57.029111 (Ohio) | Secondary |
207WX0107X | Ophthalmology - Retina Specialist | A177288 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Saint John's Health Center | Santa monica, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Retina Partners | 3274795869 | 5 |
Entity Name | The Retina Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689945990 PECOS PAC ID: 3274795869 Enrollment ID: O20120426000456 |
Mailing Address | Practice Location Address |
---|---|
Jessica Lely Cao, 16500 Ventura Blvd Ste 250, Encino, CA 91436-2018 Ph: (818) 788-9333 | Jessica Lely Cao, 16500 Ventura Blvd Ste 250, Encino, CA 91436-2018 Ph: (818) 788-9333 |
Nicole Koulisis, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5400 Balboa Blvd Ste 126, Encino, CA 91316 Phone: 818-578-0004 Fax: 818-578-0002 | |
Hajir Dadgostar, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 16500 Ventura Blvd, Suite 250, Encino, CA 91436 Phone: 818-788-9333 Fax: 818-788-9273 | |
Dr. Mark H Kramar, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 16311 Ventura Blvd, Suite #750, Encino, CA 91436 Phone: 818-990-3623 Fax: 818-788-1056 | |
John G Rezapour, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 16661 Ventura Blvd Ste 211, Encino, CA 91436 Phone: 818-205-1200 Fax: 818-205-1254 | |
Dr. Stanley M Kopelow, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 16311 Ventura Blvd, Suite 750, Encino, CA 91436 Phone: 818-990-3623 Fax: 818-788-1056 | |
Dr. Mohammad Reza Kalantari Nejad, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 16661 Ventura Blvd, Suite 312, Encino, CA 91436 Phone: 818-380-9191 Fax: 818-380-9190 | |
Sheryl M Handler, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 16311 Ventura Blvd, Suite 980, Encino, CA 91436 Phone: 818-789-2226 Fax: 818-789-2353 |