| Ms Priya Darshni Jagadeesan, | |
|
4867 W Sunset Blvd, Los Angeles, CA 90027-5969 | |
| (833) 574-2273 | |
| Not Available |
| Full Name | Ms Priya Darshni Jagadeesan |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 4867 W Sunset Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770110587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A196681 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Priya Darshni Jagadeesan, 3504 San Efrain, Mission, TX 78572-9753 Ph: (956) 205-5575 | Ms Priya Darshni Jagadeesan, 4867 W Sunset Blvd, Los Angeles, CA 90027-5969 Ph: (833) 574-2273 |
Jason Aguirre, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1516 Sawtelle Blvd, Los Angeles, CA 90025 Phone: 310-445-5999 | |
Joong Y Park, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3511 W Olympic Bl, #101, Los Angeles, CA 90019 Phone: 323-766-1057 Fax: 323-766-8790 | |
Tit S Li, MD General Practice Medicare: Medicare Enrolled Practice Location: 819 W Cesar E Chavez Ave, Los Angeles, CA 90012 Phone: 213-613-1255 Fax: 213-613-1256 | |
Miss Hui Wu, M.D General Practice Medicare: Medicare Enrolled Practice Location: 2975 Wilshire Blvd, #103, Los Angeles, CA 90010 Phone: 213-736-0450 | |
Enrique Jose Gonzalez, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 321 S Mednik Ave, Los Angeles, CA 90022 Phone: 323-261-4706 Fax: 323-261-4124 | |
Dr. Shivangi Amin, General Practice Medicare: Not Enrolled in Medicare Practice Location: 701 N Alvarado St, Los Angeles, CA 90026 Phone: 213-908-5008 | |
Dr. Charles Ikechukwu Okoye, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 4405 S Main St, Los Angeles, CA 90037 Phone: 323-231-0659 |