| Jessica Terrell, | |
|
99 N La Cienega Blvd Ste 202, Beverly Hills, CA 90211-2285 | |
| (310) 385-3300 | |
| Not Available |
| Full Name | Jessica Terrell |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 99 N La Cienega Blvd Ste 202, Beverly Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205335403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | A189518 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 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 |
|---|---|
| Jessica Terrell, 4077 Fifth Ave # Mer35, San Diego, CA 92103-2105 Ph: () - | Jessica Terrell, 99 N La Cienega Blvd Ste 202, Beverly Hills, CA 90211-2285 Ph: (310) 385-3300 |
Dr. Jeremy Cameron Davis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8641 Wilshire Blvd Ste 115, Beverly Hills, CA 90211 Phone: 310-855-7002 Fax: 310-855-7003 | |
Dr. Peter L Kopelson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 414 N Camden Dr, Suite 640, Beverly Hills, CA 90210 Phone: 310-271-7400 Fax: 310-271-0003 | |
Dr. Paul Wesley Wallace, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 8920 Wilshire Blvd, Suite 327, Beverly Hills, CA 90211 Phone: 310-652-8460 Fax: 310-652-8499 | |
Dr. Edgar Franklin Fincher, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 421 N Rodeo Dr, Suite T-7, Beverly Hills, CA 90210 Phone: 310-274-5372 Fax: 310-274-5380 | |
Ms. Melinda Chan, PA-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 8929 Wilshire Blvd, Ph Suite 500, Beverly Hills, CA 90211 Phone: 424-256-5272 | |
Dr. Ladan Shahabi, MD Dermatology Medicare: Medicare Enrolled Practice Location: 8641 Wilshire Blvd Ste 115, Beverly Hills, CA 90211 Phone: 310-855-7002 Fax: 310-855-7003 | |
Eric Alden Lewis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 125 N. Robertson Blvd., Beverly Hills, CA 90211 Phone: 310-289-9700 Fax: 310-289-9779 |