Jessica Renee Edmonds (NPI# 1215435060, PAC ID# 0941560395) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1215435060 |
| PAC ID by PECOS | 0941560395 |
| Professional Enrollment ID | I20180205001441 |
| Full Name | Jessica Renee Edmonds |
| Organization Legal Name | ARRAY SKIN THERAPY, A MEDICAL CORPORATION |
| Address |
2990 S Sepulveda Blvd Suite 201 Los Angeles CA 90064-3973 |
| Phone Number | 3104777977 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1557534278 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2990 S Sepulveda Blvd, Suite 201, Los Angeles, CA 90064-3973 | 3104777977 | ARRAY SKIN THERAPY, A MEDICAL CORPORATION |
| 2850 Artesia Blvd, Suite 208, Redondo Beach, CA 90278-3413 | 4244526036 | ARRAY SKIN THERAPY, A MEDICAL CORPORATION |
| Organization Legal Name | ARRAY SKIN THERAPY, A MEDICAL CORPORATION |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Bevens Goodman | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 26932 Oso Pkwy, Suite 270, Mission Viejo, CA 92691-5810 |
| Kristen C Miller | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 2990 S Sepulveda Blvd, Suite 201, Los Angeles, CA 90064-3973 |
| Vu H Nguyen | Dermatology | Array Skin Therapy, A Medical Corporation | 26932 Oso Pkwy, Suite 270, Mission Viejo, CA 92691-5810 |
| Vangie Tran | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 26932 Oso Pkwy, Suite 270, Mission Viejo, CA 92691-5810 |
| Kathy Van Klaveren | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 26932 Oso Pkwy, Suite 270, Mission Viejo, CA 92691-5810 |
| Estera Han | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 20162 Sw Birch St, Suite 260, Newport Beach, CA 92660-0787 |
| Monika E Jauregui | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 2850 Artesia Blvd, Suite 208, Redondo Beach, CA 90278-3413 |
| Street Address |
2990 S SEPULVEDA BLVD SUITE 201 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90064-3973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanthi M Colaco | Dermatology | 2990 S Sepulveda Blvd, Suite 300, Los Angeles, CA 90064-3996 | |
| Kristen C Miller | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 2990 S Sepulveda Blvd, Suite 201, Los Angeles, CA 90064-3973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn Peter Fischel | Chiropractic | 11545 W Olympic Blvd, A, Los Angeles, CA 90064-1508 | |
| Joel Jaffe | General Practice | Citizens Medical Group | 11560 W Pico Blvd, Los Angeles, CA 90064-1520 |
| Larry S Brandis | Internal Medicine | Citizens Medical Group | 11560 W Pico Blvd, Los Angeles, CA 90064-1520 |
| Elizabeth Farr | Psychologist, Clinical | 11500 W Olympic Blvd, Suite 400, Los Angeles, CA 90064-1525 | |
| Trevin Thurman | Physical Medicine and Rehabilitation | 11500 W Olympic Blvd, Suite 640, Los Angeles, CA 90064-1525 | |
| Andrew P Pritikin | Physical Therapy | 11500 W Olympic Blvd, Suite 506, Los Angeles, CA 90064-1527 | |
| Nathaniel Elkins | Chiropractic | 11500 W Olympic Blvd, Suite 364, Los Angeles, CA 90064-1528 | |
| Asif W Rafi | Allergy/immunology | 11500 W Olympic Blvd, Los Angeles, CA 90064-1530 | |
| Tanya L Balakrishnan | Physical Therapy | Momentum Physical Therapy | 11500 W Olympic Blvd, Suite 470, Los Angeles, CA 90064-1530 |
| Kelly Masuda | Physical Therapy | Momentum Physical Therapy | 11500 W Olympic Blvd, Suite 470, Los Angeles, CA 90064-1530 |
| Find all physicians in zip 90064 | |||
| City | LOS ANGELES |
| Zip Code | 90064 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOS ANGELES + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica Renee Edmonds.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.