| Rick Jenkins, M.d. Inc | |
|
1703 Termino Ave Ste.110 Long Beach CA 90804-2124 | |
| (310) 552-0146 | |
| (310) 552-0185 |
| Full Name | Rick Jenkins, M.d. Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1703 Termino Ave, Long Beach, California |
| Authorized Official Name and Position | Rick L Jenkins (OWNER) |
| Authorized Official Contact | 3105520146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rick Jenkins, M.d. Inc 1703 Termino Ave Ste.110 Long Beach CA 90804-2124 Ph: (310) 552-0146 | Rick Jenkins, M.d. Inc 1703 Termino Ave Ste.110 Long Beach CA 90804-2124 Ph: (310) 552-0146 |
| NPI Number | 1316295942 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 04/18/2016 |
| Medicare PECOS PAC ID | 0143474031 |
|---|---|
| Medicare Enrollment ID | O20130130000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316295942 | NPI | - | NPPES |
| 00G697360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G69736 (California) | Primary |
| Provider Name | Rick L Jenkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275502825 PECOS PAC ID: 8022093376 Enrollment ID: I20040621001431 |
| Provider Name | Behnam Partovi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306851076 PECOS PAC ID: 9335146943 Enrollment ID: I20061024000430 |
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