Jalal Soltanian-zadeh, DO | |
4001 Highway 104, Ione, CA 95640 | |
(209) 274-4911 | |
Not Available |
Full Name | Jalal Soltanian-zadeh |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 4001 Highway 104, Ione, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962554196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A9130 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Jalal Soltanian-zadeh, DO Po Box 1210, Folsom, CA 95763-1210 Ph: (805) 258-3963 | Jalal Soltanian-zadeh, DO 4001 Highway 104, Ione, CA 95640 Ph: (209) 274-4911 |
Mrs. Alayna Ly, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Highway 104, Ione, CA 95640 Phone: 702-388-8436 Fax: 702-388-8431 | |
Dr. Sam Huen Sheung Wong, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 Waterman Rd, Ione, CA 95640 Phone: 209-274-8246 Fax: 209-274-4163 | |
Dr. Joseph Chudy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4001 Highway 104, Ione, CA 95640 Phone: 209-274-4911 |