| Jennifer Ellice, | |
|
1450 10th St Ste 300, Santa Monica, CA 90401-2831 | |
| (310) 310-8031 | |
| (949) 816-1967 |
| Full Name | Jennifer Ellice |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 22 Years |
| Location | 1450 10th St Ste 300, Santa Monica, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275758237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | LP00217 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - Downey | Downey, CA | Hospital |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ellice, 1450 10th St Ste 300, Santa Monica, CA 90401-2831 Ph: (310) 310-8031 | Jennifer Ellice, 1450 10th St Ste 300, Santa Monica, CA 90401-2831 Ph: (310) 310-8031 |
William Shyy, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Edward S Cotner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1328 Twenty Second Street, Santa Monica, CA 90404 Phone: 310-582-7089 | |
Walid H. Ghurabi, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Emergency Department, Santa Monica, CA 90404 Phone: 310-319-4000 | |
Dr. Robert Lee Hook Iii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Ms. Rosemarie Bustos Diaz, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1250 16th St, Santa Monica, CA 90404 Phone: 310-794-7700 | |
Amy L Kijner, PA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-582-7089 | |
Ellen Bess Kettler, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1245 16th St Ste 125, Santa Monica, CA 90404 Phone: 310-301-8860 |