| Scott E. Jenkins M.d., Inc. | |
|
1501 Superior Ave Ste 310 Newport Beach CA 92663-3641 | |
| (949) 574-9300 | |
| (949) 548-4544 |
| Full Name | Scott E. Jenkins M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1501 Superior Ave Ste 310, Newport Beach, California |
| Authorized Official Name and Position | Scott E Jenkins (OWNER) |
| Authorized Official Contact | 9495749300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott E. Jenkins M.d., Inc. Po Box 306 Suisun City CA 94585-0306 Ph: (657) 241-3600 | Scott E. Jenkins M.d., Inc. 1501 Superior Ave Ste 310 Newport Beach CA 92663-3641 Ph: (949) 574-9300 |
| NPI Number | 1336235506 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 12/14/2023 |
| Medicare PECOS PAC ID | 6103825344 |
|---|---|
| Medicare Enrollment ID | O20061215000328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336235506 | NPI | - | NPPES |
| DH1302 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Scott E Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528009743 PECOS PAC ID: 0143240077 Enrollment ID: I20051206000914 |
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