Renita Jejuan Pullens, DO | |
15315 Magnolia Blvd., Roze Room Hospice Of The Valley, Sherman Oaks, CA 91403 | |
(818) 783-1002 | |
(818) 783-1066 |
Full Name | Renita Jejuan Pullens |
---|---|
Gender | Female |
Speciality | General Practice |
Location | 15315 Magnolia Blvd., Sherman Oaks, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093791667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 20A8326 (California) | Primary |
Entity Name | Lakeside Medical Organization A Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
Mailing Address | Practice Location Address |
---|---|
Renita Jejuan Pullens, DO 23622 Calabasas Rd, Ste 250, Calabasas, CA 91302-1549 Ph: (818) 591-3435 | Renita Jejuan Pullens, DO 15315 Magnolia Blvd., Roze Room Hospice Of The Valley, Sherman Oaks, CA 91403 Ph: (818) 783-1002 |
Dr. Joginder Chopra, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 15143 Hesby Street, Sherman Oaks, CA 91403 Phone: 818-905-3282 | |
Dr. Norman Peter Horowitz, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: Norman Horowitz, 14320 Ventura Blvd #618, Sherman Oaks, CA 91423 Phone: 818-317-3404 Fax: 818-986-7838 | |
Dr. Stephen Franklin Cooper, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 14567 Deervale Pl, Sherman Oaks, CA 91403 Phone: 818-995-6074 Fax: 818-783-7989 |