Mr Bruce K Jackson, MD | |
520 N Prospect Ave, Ste. 300, Redondo Beach, CA 90277-3041 | |
(310) 372-1156 | |
(310) 372-6504 |
Full Name | Mr Bruce K Jackson |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 53 Years |
Location | 520 N Prospect Ave, Redondo Beach, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609883438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | A24716 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Torrance Memorial Medical Center | Torrance, CA | Hospital |
Providence Little Company Of Mary Med Ctr Torrance | Torrance, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cor Healthcare Medical Associates | 0547157976 | 24 |
Southern California Hospitalist Network Medical Group Inc | 8921990110 | 73 |
Torrance Memorial Medical Center | 9638087703 | 50 |
Entity Name | Cor Healthcare Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699864215 PECOS PAC ID: 0547157976 Enrollment ID: O20040301001292 |
Entity Name | Torrance Memorial Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477502797 PECOS PAC ID: 9638087703 Enrollment ID: O20040315000284 |
Entity Name | Southern California Hospitalist Network Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790880458 PECOS PAC ID: 8921990110 Enrollment ID: O20040324001749 |
Mailing Address | Practice Location Address |
---|---|
Mr Bruce K Jackson, MD 1360 W 6th St, Suite 200, San Pedro, CA 90732-3514 Ph: (310) 547-9922 | Mr Bruce K Jackson, MD 520 N Prospect Ave, Ste. 300, Redondo Beach, CA 90277-3041 Ph: (310) 372-1156 |
William Liu, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 520 N Prospect Ave Ste 103, Redondo Beach, CA 90277 Phone: 310-376-8816 Fax: 310-374-2806 | |
Chester Walter Gottlieb, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 514 N Prospect Ave, 4th Floor, Redondo Beach, CA 90277 Phone: 310-750-3300 Fax: 310-750-3381 | |
Connie Teng, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 520 N Prospect Ave, Redondo Beach, CA 90277 Phone: 310-318-9992 | |
Beverly Chen, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 514 N Prospect Ave, Redondo Beach, CA 90277 Phone: 310-937-8555 | |
Samina Khani, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 520 N Prospect Ave, Ste 103, Redondo Beach, CA 90277 Phone: 310-376-8816 Fax: 310-374-2806 | |
Dr. Camela Joan Ott, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2114 Artesia Blvd, Redondo Beach, CA 90278 Phone: 310-802-6177 Fax: 310-802-6178 | |
Dr. John Neal Johnson, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 502 Torrance Blvd, Redondo Beach, CA 90277 Phone: 310-214-0811 |