Perry Jensen, MD | |
7901 Frost St, San Diego, CA 92123-2701 | |
(619) 295-0964 | |
Not Available |
Full Name | Perry Jensen |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 7901 Frost St, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124080650 | NPI | - | NPPES |
00A427160 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | A42716 (California) | Primary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A42716 (California) | Primary |
Entity Name | Pacific Rim Pathology Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922069087 PECOS PAC ID: 3476449448 Enrollment ID: O20040225001247 |
Entity Name | Analytic Pathology Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568431088 PECOS PAC ID: 6103714274 Enrollment ID: O20040309001228 |
Mailing Address | Practice Location Address |
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Perry Jensen, MD Po Box 10076, Van Nuys, CA 91410-0076 Ph: (805) 578-8300 | Perry Jensen, MD 7901 Frost St, San Diego, CA 92123-2701 Ph: (619) 295-0964 |
Dr. Natalie E. Ellington, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-5944 | |
Michael L. Bonin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4405 Vandever Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Dr. Caron Elizabeth Mcmichael, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 16899 W Bernardo Dr, San Diego, CA 92127 Phone: 858-521-2393 Fax: 858-527-2017 | |
Dr. Jazbieh M Moezzi, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 700 W Harbor Dr, #2702, San Diego, CA 92101 Phone: 937-304-4410 | |
Omonigho A. Aisagbonhi, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-657-7000 | |
Nicholas Bevins, MD PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1835 Edgemont St, San Diego, CA 92102 Phone: 831-277-9487 | |
Dr. Peilin Zhang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 9295 Farnham St Ste 100, San Diego, CA 92123 Phone: 858-939-3660 |