| Jincy Jacob, | |
|
832 S Grevillea Ave, Inglewood, CA 90301-3312 | |
| (310) 419-4354 | |
| (310) 419-4621 |
| Full Name | Jincy Jacob |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 832 S Grevillea Ave, Inglewood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104088996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | BP10032427 (Texas) | Primary |
| Entity Name | Jwch Institute Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407808058 PECOS PAC ID: 1850394123 Enrollment ID: O20060807000476 |
| Mailing Address | Practice Location Address |
|---|---|
| Jincy Jacob, 832 S Grevillea Ave, Inglewood, CA 90301-3312 Ph: (310) 419-4354 | Jincy Jacob, 832 S Grevillea Ave, Inglewood, CA 90301-3312 Ph: (310) 419-4354 |
Dr. Phillip Gordon Mckinley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 N Prairie Ave Ste 401, Inglewood, CA 90301 Phone: 310-693-0483 | |
Dr. Adaeze F. Howard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1091 S. Labrea Avenue, Inglewood, CA 90301 Phone: 310-330-2960 Fax: 310-330-2961 | |
Dr. Rachna Kucheria, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1091 S La Brea Ave, Inglewood, CA 90301 Phone: 310-330-2960 Fax: 310-330-2961 | |
Dr. Kingsley Ofoegbu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 644 E Regent St, Suite 200, Inglewood, CA 90301 Phone: 310-674-5353 Fax: 310-674-7041 | |
Marvin White, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11161 Crenshaw Blvd, Suite 210, Inglewood, CA 90303 Phone: 310-419-1067 Fax: 310-419-1067 | |
Dr. Joseph Emanuel Pierson Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 N Prairie Ave Ste 230, Inglewood, CA 90301 Phone: 323-944-0949 Fax: 323-782-0388 |