Stacey Joanna Jeong, | |
462 San Mateo Ave Ste A, San Bruno, CA 94066-4437 | |
(415) 469-4988 | |
Not Available |
Full Name | Stacey Joanna Jeong |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 462 San Mateo Ave Ste A, San Bruno, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972272433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 15943 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Stacey Joanna Jeong, 462 San Mateo Ave Ste A, San Bruno, CA 94066-4437 Ph: (415) 469-4988 | Stacey Joanna Jeong, 462 San Mateo Ave Ste A, San Bruno, CA 94066-4437 Ph: (415) 469-4988 |
Glenda C Delgado, M.S, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 462 San Mateo Ave Ste A, San Bruno, CA 94066 Phone: 916-729-3098 | |
Annel Maria Rojas, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 462 San Mateo Ave Ste A, San Bruno, CA 94066 Phone: 415-469-4988 | |
Julia Stankiewicz, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 462 San Mateo Ave Unit A, San Bruno, CA 94066 Phone: 510-250-9199 | |
Ms. Lauren N Achacoso, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 462 San Mateo Ave Ste A, San Bruno, CA 94066 Phone: 510-250-9199 | |
Mrs. Yevgeniya Safronovna Prusakova, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6308 Shelter Creek Ln, San Bruno, CA 94066 Phone: 650-616-8738 | |
Esther D Martinez, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 462 San Mateo Ave, San Bruno, CA 94066 Phone: 415-469-4988 |