Jace Medical, Inc is a
Physician Assistant based in North Hollywood, California. Jace Medical, Inc is licensed to practice in California (license number 12998) and their current practice location is
10843 Magnolia Blvd, Suite 1, North Hollywood, California. It can be reached at their office (for appointments etc.) via phone at
(818) 505-8610.
NPI number for Jace Medical, Inc is 1790906170 and their current mailing address is 10843 Magnolia Blvd, Suite 1, North Hollywood, California. Jace Medical, Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1790906170.
Healthcare Provider's Profile
| Full Name | Jace Medical, Inc |
|---|
| Type | Facility |
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| Speciality | Physician Assistant |
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| Location | 10843 Magnolia Blvd, North Hollywood, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790906170
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Jace Medical, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790906170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 3835 (California) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A38484 (California) | Primary |
| 363A00000X | Physician Assistant | 12998 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jace Medical, Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jace Medical, Inc
10843 Magnolia Blvd, Suite 1,
North Hollywood, CA 91601-3922
Ph: (818) 505-8610 | Jace Medical, Inc
10843 Magnolia Blvd, Suite 1,
North Hollywood, CA 91601-3922
Ph: (818) 505-8610 |
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