Blair Moyle Jolley, DPM | |
13652 Cantara St, Panorama City, CA 91402-5423 | |
(818) 375-2000 | |
(818) 375-3201 |
Full Name | Blair Moyle Jolley |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 13 Years |
Location | 13652 Cantara St, Panorama City, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366737728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | E5135 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hospital - Panorama City | Panorama city, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Permanente Medical Group | 6002729175 | 8172 |
Provider Name | Southern California Permanente Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Provider Name | Family Foot Center Podiatry Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235332396 PECOS PAC ID: 0042429375 Enrollment ID: O20150707000068 |
Mailing Address | Practice Location Address |
---|---|
Blair Moyle Jolley, DPM 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 | Blair Moyle Jolley, DPM 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 |
Dr. Marcie Louise Carter, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Bill Harries, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Dr. Michelle Finkeltub Attar, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2941 | |
Kurtis H Chin, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Sharon J Bangalan, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Robert James Stillwell Iii, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2700 |