Jennifer Connelly (NPI# 1710026935, PAC ID# 9537151873) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1710026935 |
| PAC ID by PECOS | 9537151873 |
| Professional Enrollment ID | I20040401000526 |
| Full Name | Jennifer Connelly |
| Address |
5500 E Atherton St Suite 416 Long Beach CA 90815-4023 |
| Gender | F |
| Credential | DO |
| Medical School | COLLEGE OF OSTEO OF THE PACIFIC |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | ENDOCRINOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050485 | LONG BEACH MEMORIAL MEDICAL CENTER |
| 050551 | LOS ALAMITOS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5500 E Atherton St, Suite 416, Long Beach, CA 90815-4023 |
| Street Address |
5500 E ATHERTON ST SUITE 416 |
| City | LONG BEACH |
| State | CA |
| Zip | 90815-4023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Hendon | Internal Medicine | 1777 Bellflower Blvd, Suite 203, Long Beach, CA 90815 | |
| Kevin Vincent Hartsough | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Josiah Leung | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Cameron M Rau | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| William Buchanan Erb | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| James Kuan Lee | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Huimin Wu | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Mark C Zipser | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Nina Lee | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Kevin Nguyen | Physical Therapy | Southland Physical Therapy Inc | 2820 N Bellflower Blvd, Long Beach, CA 90815-1125 |
| Find all physicians in zip 90815 | |||
| City | LONG BEACH |
| Zip Code | 90815 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LONG BEACH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jennifer Connelly.
| 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.