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 |
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Provider Enumeration Date | 08/29/2012 |
Last Update Date | 04/18/2016 |
Medicare PECOS PAC ID | 0143474031 |
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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 |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1306851076 PECOS PAC ID: 9335146943 Enrollment ID: I20061024000430 |
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