| Jkg Nursing, Inc | |
|
15722 Vincennes St North Hills CA 91343-3166 | |
| (209) 849-6543 | |
| Not Available |
| Full Name | Jkg Nursing, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 15722 Vincennes St, North Hills, California |
| Authorized Official Name and Position | Jagmohan Ghotra (PRESIDENT & CEO) |
| Authorized Official Contact | 2098496543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jkg Nursing, Inc 25044 Peachland Ave Ste 110 Newhall CA 91321-5730 Ph: (818) 636-6749 | Jkg Nursing, Inc 15722 Vincennes St North Hills CA 91343-3166 Ph: (209) 849-6543 |
| NPI Number | 1255128252 |
|---|---|
| Provider Enumeration Date | 04/22/2025 |
| Last Update Date | 04/22/2025 |
| Medicare PECOS PAC ID | 7012436587 |
|---|---|
| Medicare Enrollment ID | O20250528001785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255128252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| Provider Name | Jagmohan Ghotra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689032815 PECOS PAC ID: 8325334741 Enrollment ID: I20160912001816 |
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