Joel Jaffe (NPI# 1417037466, PAC ID# 2567621444) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1417037466 |
PAC ID by PECOS | 2567621444 |
Professional Enrollment ID | I20120313000577 |
Full Name | Joel Jaffe |
Organization Legal Name | CITIZENS MEDICAL GROUP |
Address |
11560 W Pico Blvd Los Angeles CA 90064-1520 |
Phone Number | 3104778285 |
Gender | M |
Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1972 |
Primary Specialty | GENERAL PRACTICE |
Group Practice PAC ID | 7618136581 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
11560 W Pico Blvd, Los Angeles, CA 90064-1520 | 3104778285 | CITIZENS MEDICAL GROUP |
Organization Legal Name | CITIZENS MEDICAL GROUP |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Larry S Brandis | Internal Medicine | Citizens Medical Group | 11560 W Pico Blvd, Los Angeles, CA 90064-1520 |
Street Address |
11560 W PICO BLVD |
City | LOS ANGELES |
State | CA |
Zip | 90064-1520 |
Name | Specialty | Organization | Address |
---|---|---|---|
Larry S Brandis | Internal Medicine | Citizens Medical Group | 11560 W Pico Blvd, Los Angeles, CA 90064-1520 |
Name | Specialty | Organization | Address |
---|---|---|---|
Glenn Peter Fischel | Chiropractic | 11545 W Olympic Blvd, A, Los Angeles, CA 90064-1508 | |
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 |
Naoya Ogura | Occupational Therapy | Re Active Physical Therapy and Wellness | 11500 W Olympic Blvd, Suite 415, Los Angeles, CA 90064-1536 |
Crissy Renee Parrish | Physical Therapy | Re Active Physical Therapy and Wellness | 11500 W Olympic Blvd, Suite 415, Los Angeles, CA 90064-1536 |
Find all physicians in zip 90064 |
City | LOS ANGELES |
Zip Code | 90064 |
Specialty | GENERAL PRACTICE |
City + Specialty | LOS ANGELES + GENERAL PRACTICE |
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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.