| Dr Jyotsna Keni, MD | |
|
11160 Warner Ave, Suite 117, Fountain Valley, CA 92708-4008 | |
| (714) 432-1950 | |
| (714) 432-1953 |
| Full Name | Dr Jyotsna Keni |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Endocrinology |
| Location | 11160 Warner Ave, Fountain Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104061407 | NPI | - | NPPES |
| A98869 | Other | CA | MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A98869 (California) | Secondary |
| 2080P0205X | Pediatrics - Pediatric Endocrinology | A98869 (California) | Primary |
| Entity Name | Marque Medical Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538466107 PECOS PAC ID: 9537345665 Enrollment ID: O20110525000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jyotsna Keni, MD 11160 Warner Ave, Suite 117, Fountain Valley, CA 92708-4008 Ph: (714) 432-1950 | Dr Jyotsna Keni, MD 11160 Warner Ave, Suite 117, Fountain Valley, CA 92708-4008 Ph: (714) 432-1950 |
Sheila Phuong Nguyen, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 17360 Brookhurst Street, Fountain Valley, CA 92708 Phone: 714-665-1797 Fax: 714-665-4680 | |
Margaret Zimmerman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18035 Brookhurst St, Suite 2100, Fountain Valley, CA 92708 Phone: 657-241-9090 | |
Graham C Tse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17100 Euclid St, Department Picu/peds, Fountain Valley, CA 92708 Phone: 714-966-7253 Fax: 714-966-3354 | |
Mrs. Toquynh Dinh Kieu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11100 Warner Ave, Suite # 116, Fountain Valley, CA 92708 Phone: 714-641-0850 Fax: 714-434-6158 | |
Tanya Dansky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17360 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-377-2900 | |
Miss Elisabeth Vanessa Malin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 18255 Brookhurst St, Suite 100, Fountain Valley, CA 92708 Phone: 714-378-5330 Fax: 714-378-5320 |