| Jaclyn Young, | |
|
339 E Leland Rd, Pittsburg, CA 94565-4911 | |
| (925) 431-1250 | |
| Not Available |
| Full Name | Jaclyn Young |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 339 E Leland Rd, Pittsburg, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427550813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10299 (Arizona) | Primary |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Young, 5883 W Buffalo Pl, Chandler, AZ 85226-7512 Ph: (661) 877-1088 | Jaclyn Young, 339 E Leland Rd, Pittsburg, CA 94565-4911 Ph: (925) 431-1250 |
Dr. Maneeza A Kulaly, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2931 Harbor St Ste I, Pittsburg, CA 94565 Phone: 925-526-0000 | |
Dr. Guadalupe Madrigal, DDS Dentist Medicare: Medicare Enrolled Practice Location: 337 E Leland Rd, Pittsburg, CA 94565 Phone: 925-431-1250 | |
Rina Campbell, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 337 E Leland Rd, Pittsburg, CA 94565 Phone: 510-520-6326 | |
Dr. Josefina A Matias, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 156 Atlantic Avenue, Pittsburg, CA 94565 Phone: 925-427-7590 Fax: 925-427-7592 | |
Dr. Gianna Cristina Ligouri Lum, Dentist Medicare: Medicare Enrolled Practice Location: 337 E Leland Rd, Pittsburg, CA 94565 Phone: 925-431-1250 | |
Miss Kelly Kim Nguyen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 339 E Leland Rd, Pittsburg, CA 94565 Phone: 925-431-1250 | |
Dr. Raymond L. Dorrough, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3105 Railroad Ave, Suite D, Pittsburg, CA 94565 Phone: 925-432-8509 Fax: 925-432-8357 |