Jincy Jacob, | |
832 S Grevillea Ave, Inglewood, CA 90301-3312 | |
(310) 419-4354 | |
(310) 419-4621 |
Full Name | Jincy Jacob |
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Gender | Female |
Speciality | Family Medicine |
Location | 832 S Grevillea Ave, Inglewood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104088996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | BP10032427 (Texas) | Primary |
Entity Name | Jwch Institute Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407808058 PECOS PAC ID: 1850394123 Enrollment ID: O20060807000476 |
Mailing Address | Practice Location Address |
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Jincy Jacob, 832 S Grevillea Ave, Inglewood, CA 90301-3312 Ph: (310) 419-4354 | Jincy Jacob, 832 S Grevillea Ave, Inglewood, CA 90301-3312 Ph: (310) 419-4354 |
Dr. Adaeze F. Howard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1091 S. Labrea Avenue, Inglewood, CA 90301 Phone: 310-330-2960 Fax: 310-330-2961 | |
Dr. Rachna Kucheria, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1091 S La Brea Ave, Inglewood, CA 90301 Phone: 310-330-2960 Fax: 310-330-2961 | |
Mr. Dennis Kamakia, REGISTERED NURSE Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11149 Crenshaw Blvd, Inglewood, CA 90303 Phone: 310-677-4600 | |
Dr. Kingsley Ofoegbu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 644 E Regent St, Suite 200, Inglewood, CA 90301 Phone: 310-674-5353 Fax: 310-674-7041 | |
Marvin White, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11161 Crenshaw Blvd, Suite 210, Inglewood, CA 90303 Phone: 310-419-1067 Fax: 310-419-1067 | |
Michael Darrick Hamilton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 333 E Nutwood St, Suite B, Inglewood, CA 90301 Phone: 310-693-0483 Fax: 310-693-0485 |