Lourdes C Jimenez, MD | |
3400 Delta Fair Blvd, Antioch, CA 94509-4004 | |
(925) 779-5000 | |
Not Available |
Full Name | Lourdes C Jimenez |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 3400 Delta Fair Blvd, Antioch, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619041936 | NPI | - | NPPES |
00G646580 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G64658 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Lourdes C Jimenez, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Lourdes C Jimenez, MD 3400 Delta Fair Blvd, Antioch, CA 94509-4004 Ph: (925) 779-5000 |
Chung M. Kung, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5601 Deer Valley Rd, Antioch, CA 94531 Phone: 925-813-6500 | |
Prasad Pillai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4721 Dallas Ranch Rd, Antioch, CA 94531 Phone: 925-778-0679 Fax: 925-778-3567 | |
Dr. Doris Sofia Galina-da Silva, DORIS GALINADA SILVA Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2370 Country Hills Dr Ste 101, Antioch, CA 94509 Phone: 925-779-9635 Fax: 925-779-9672 | |
Dr. Patricia Anne Yabut Haro, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 916-854-6975 Fax: 916-854-6844 | |
Dr. Kalyani Maganti, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 3903 Lone Tree Way, Suite 205, Antioch, CA 94509 Phone: 925-754-8710 Fax: 925-754-0765 | |
Al G. Sumaquial, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000 | |
Veenu Goel Gupta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-756-1192 |