Jessica Marie Adkins Md Pc | |
415 Rolling Oaks Drive Suite 260 Thousand Oaks CA 91361-1033 | |
(805) 908-8100 | |
Not Available |
Full Name | Jessica Marie Adkins Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 415 Rolling Oaks Drive, Thousand Oaks, California |
Authorized Official Name and Position | Jessica Marie Adkins (OWNER/PRESIDENT) |
Authorized Official Contact | 8059088100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jessica Marie Adkins Md Pc 415 Rolling Oaks Drive Suite 260 Thousand Oaks CA 91361-1033 Ph: (805) 908-8100 | Jessica Marie Adkins Md Pc 415 Rolling Oaks Drive Suite 260 Thousand Oaks CA 91361-1033 Ph: (805) 908-8100 |
NPI Number | 1487269072 |
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Provider Enumeration Date | 09/10/2020 |
Last Update Date | 09/10/2020 |
Medicare PECOS PAC ID | 9133548134 |
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Medicare Enrollment ID | O20200924001129 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487269072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jessica Marie Adkins |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194968362 PECOS PAC ID: 2961665187 Enrollment ID: I20120524000589 |
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