Raymond Jing, MD | |
12618 Hawthorne Blvd., Hawthorne, CA 90250-2325 | |
(310) 263-5700 | |
Not Available |
Full Name | Raymond Jing |
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Gender | Male |
Speciality | Internal Medicine |
Location | 12618 Hawthorne Blvd., Hawthorne, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518968536 | NPI | - | NPPES |
00G332300 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G33230 (California) | Primary |
Entity Name | Providence Medical Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
Mailing Address | Practice Location Address |
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Raymond Jing, MD 12618 Hawthorne Blvd., Hawthorne, CA 90250-2325 Ph: (310) 263-5700 | Raymond Jing, MD 12618 Hawthorne Blvd., Hawthorne, CA 90250-2325 Ph: (310) 263-5700 |
Xin Chen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4455 W 117th St Ste 502, Hawthorne, CA 90250 Phone: 424-236-4800 | |
Dr. Shazia Mahmood Hasan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11633 Hawthorne Blvd, Suite 400, Hawthorne, CA 90250 Phone: 310-675-1400 | |
Dr. Bang Vu Pham, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 12923 Inglewood Ave Ste 1, Hawthorne, CA 90250 Phone: 310-675-0395 Fax: 310-675-0917 | |
Mr. Duane E Bridges, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11633 Hawthorne Blvd, #400, Hawthorne, CA 90250 Phone: 310-973-0600 Fax: 310-419-0834 | |
Malay R Das, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4477 W 118th Street, Suite 409, Hawthorne, CA 90250 Phone: 310-219-0647 Fax: 310-219-4066 | |
Pooja Kumar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4477 W 118th St, Suite 200, Hawthorne, CA 90250 Phone: 310-675-4440 Fax: 310-675-5816 | |
Mr. Mehmet Cuneyt Demirozu, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 4477 W 118th Street #303, Hawthorne, CA 90250 Phone: 310-644-9515 Fax: 310-644-3629 |