| Dr Jeffrey Bob Virgin, MD, PHD | |
|
2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 | |
| (310) 225-3244 | |
| (310) 698-7040 |
| Full Name | Dr Jeffrey Bob Virgin |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 37 Years |
| Location | 2374 E Pacifica Pl, Rancho Dominguez, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659460897 | NPI | - | NPPES |
| 1659460897 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | MD00028232 (Washington) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G156025 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Redlands Community Hospital | Redlands, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Affiliated Pathologists Medical Group, Inc. | 7315840535 | 44 |
| Entity Name | Affiliated Pathologists Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730119553 PECOS PAC ID: 7315840535 Enrollment ID: O20040127000838 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Bob Virgin, MD, PHD 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 Ph: (310) 225-3244 | Dr Jeffrey Bob Virgin, MD, PHD 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 Ph: (310) 225-3244 |
Suchetha Adiga, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 | |
Dr. Jennifer F O'dell, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 | |
Dr. Nicolas Gallegos Ii, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 | |
Georgia Liles Tunstill, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7054 | |
Scott Binder, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-693-0718 Fax: 310-698-7040 | |
Dr. Stacy J Arnold, M.D. Pathology Medicare: May Accept Medicare Assignments Practice Location: 20001 S Rancho Way, Rancho Dominguez, CA 90220 Phone: 310-225-3221 Fax: 310-698-7040 | |
Dr. Nicholas Max Harding-jackson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2374 E Pacifica Pl, Rancho Dominguez, CA 90220 Phone: 310-225-3244 Fax: 310-698-7040 |