| Jennifer Che O D A Professional Corporation | |
|
625 W 9th St San Pedro CA 90731-3107 | |
| (310) 833-2495 | |
| Not Available |
| Full Name | Jennifer Che O D A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 625 W 9th St, San Pedro, California |
| Authorized Official Name and Position | Jennifer Che (OPTOMETRIST/OWNDER) |
| Authorized Official Contact | 7542291918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Che O D A Professional Corporation 625 W 9th St San Pedro CA 90731-3107 Ph: (310) 833-2495 | Jennifer Che O D A Professional Corporation 625 W 9th St San Pedro CA 90731-3107 Ph: (310) 833-2495 |
| NPI Number | 1609389139 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 10/03/2024 |
| Medicare PECOS PAC ID | 5698039196 |
|---|---|
| Medicare Enrollment ID | O20180509002106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609389139 | NPI | - | NPPES |
| 3494144 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jennifer Che |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013205905 PECOS PAC ID: 3072740646 Enrollment ID: I20131206000561 |
| Provider Name | Brenda Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235979733 PECOS PAC ID: 7113462342 Enrollment ID: I20240712000405 |
Mark Perez Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 W 6th St, 2nd Floor #7, San Pedro, CA 90732 Phone: 310-832-1126 Fax: 310-831-3000 | |
Jeremy Anuntiyo Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1360 W 6th St Ste 310, San Pedro, CA 90732 Phone: 562-529-7772 Fax: 562-529-5449 | |
Dr Mona Shah Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 S Gaffey St, San Pedro, CA 90731 Phone: 310-548-0201 Fax: 310-547-3340 | |
Total Body Advanced Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 789 W 9th St, San Pedro, CA 90731 Phone: 310-519-1557 Fax: 310-519-0330 | |
Phillip E Schoenwetter Md , Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 787 W 9th St, San Pedro, CA 90731 Phone: 310-832-0258 Fax: 310-833-9825 | |
Allan I Larner Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 S Beacon St, San Pedro, CA 90731 Phone: 760-468-4656 Fax: 760-723-3223 | |
Stephen D. Taus, M. D. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1366 W 7th St, San Pedro, CA 90732 Phone: 310-548-3078 |