| Jrd Medical Group | |
|
438 E Katella Ave Ste 226 A Orange CA 92867-4803 | |
| (760) 687-6968 | |
| Not Available |
| Full Name | Jrd Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 438 E Katella Ave Ste 226 A, Orange, California |
| Authorized Official Name and Position | Dureza Hanson (CEO) |
| Authorized Official Contact | 7606876968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jrd Medical Group 438 E Katella Ave Ste 226a Orange CA 92867-4803 Ph: (760) 687-6968 | Jrd Medical Group 438 E Katella Ave Ste 226 A Orange CA 92867-4803 Ph: (760) 687-6968 |
| NPI Number | 1891669982 |
|---|---|
| Provider Enumeration Date | 10/01/2025 |
| Last Update Date | 04/22/2026 |
| Certification Date | 04/22/2026 |
| Medicare PECOS PAC ID | 9638645708 |
|---|---|
| Medicare Enrollment ID | O20260416003264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891669982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Soledad Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063609097 PECOS PAC ID: 2567476898 Enrollment ID: I20090514000115 |
| Provider Name | Gail Borbe Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306369483 PECOS PAC ID: 4082973995 Enrollment ID: I20180123002457 |
| Provider Name | Ana Marlini Benitez-ceballos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952036048 PECOS PAC ID: 3779940135 Enrollment ID: I20230531001626 |
| Provider Name | Helen Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700644200 PECOS PAC ID: 0648691725 Enrollment ID: I20250701004269 |
| Provider Name | Leah Edoloverio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487543278 PECOS PAC ID: 6901303130 Enrollment ID: I20251006003463 |
| Provider Name | Theresa a Limlengco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013787118 PECOS PAC ID: 8224529946 Enrollment ID: I20251111001476 |
| Provider Name | Mary Grace Jadulos Espinosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821933557 PECOS PAC ID: 7618447673 Enrollment ID: I20260531000114 |
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