| Jazzy Doc, Pc | |
|
1318 2nd St Apt 412 Santa Monica CA 90401-1137 | |
| (209) 612-8110 | |
| Not Available |
| Full Name | Jazzy Doc, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1318 2nd St Apt 412, Santa Monica, California |
| Authorized Official Name and Position | Jasmine Singh (CEO) |
| Authorized Official Contact | 2133758095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jazzy Doc, Pc 2216 N California St Ste A Stockton CA 95204-5533 Ph: () - | Jazzy Doc, Pc 1318 2nd St Apt 412 Santa Monica CA 90401-1137 Ph: (209) 612-8110 |
| NPI Number | 1205400769 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 09/27/2021 |
| Certification Date | 09/27/2021 |
| Medicare PECOS PAC ID | 9830587229 |
|---|---|
| Medicare Enrollment ID | O20211104001874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205400769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jasmine Malika Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275997637 PECOS PAC ID: 5597002725 Enrollment ID: I20190125003099 |
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