| Jennifer T Donson, MD | |
|
25825 Vermont Ave, Harbor City, CA 90710-3518 | |
| (310) 517-3150 | |
| Not Available |
| Full Name | Jennifer T Donson |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 25825 Vermont Ave, Harbor City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033174784 | NPI | - | NPPES |
| 2337Q1 | Other | NY | BLUECROSS BLUESHIELD |
| 02736890 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 236525-1 (New York) | Secondary |
| 207P00000X | Emergency Medicine | A91286 (California) | Primary |
| 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 T Donson, MD 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 517-3150 | Jennifer T Donson, MD 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 517-3150 |
James Daehyun Kim, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Kimberly M. Preciado, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Sasan Jahan-parwar, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Vicente D. Sanchez, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Dr. Vivian C Tsai, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Linda Chang Park, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 |