David R Jensen Md A Professional Corporation is an authorized DME supplier for medicare equipments and products.
David R Jensen Md A Professional Corporation is a Primary Care in Palmdale, California. It is located at 3011 Rancho Vista Blvd, Suite B-c, Palmdale and it's customer support contact number is 661-273-2556. The authorized person of David R Jensen Md A Professional Corporation is Dr. David Richard Jensen, M.D. who is Owner of the pharmacy and his contact number is 661-273-2556. Active license number of David R Jensen Md A Professional Corporation is G044704 for Primary Care in California. David R Jensen Md A Professional Corporation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. David R Jensen Md A Professional Corporation is definition to come...
Pharmacy Details:
David R Jensen Md A Professional Corporation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
David R Jensen Md A Professional Corporation
Type:
Primary Care
Location:
3011 Rancho Vista Blvd, Suite B-c, Palmdale, California, 93551-4821
Phone:
661-273-2556
Fax:
661-267-4847
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Dr. David Richard Jensen
Credentials:
M.D.
Position:
Owner
Contact Number:
661-273-2556
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1518228980
NPI Enumeration Date:
01 Jun, 2012
NPI Last Update On:
01 Jun, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David R Jensen Md A Professional Corporation are as mentioned below.
Specialization
License Number
State
Status
Primary Care
G044704
California
Primary
Clinical Medical Laboratory
G044704
California
Secondary
Exclusive Provider Organization
G044704
California
Secondary
Health Maintenance Organization
G044704
California
Secondary
Preferred Provider Organization
G044704
California
Secondary
Oxygen Equipment & Supplies
G044704
California
Secondary
Mail Order Pharmacy
G044704
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
G044704
Medicaid
California
Medicare Enrollment:
David R Jensen Md A Professional Corporation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
4284904004
O20170726002924
David R Jensen Md A Professional Corporation
PART B SUPPLIER - CLINIC/GROUP PRACTICE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3011 Rancho Vista Blvd, Suite B-c Palmdale, California
Zip:
93551-4821
Phone Number:
661-273-2556
Fax Number:
661-267-4847
Patients can reach David R Jensen Md A Professional Corporation at 3011 Rancho Vista Blvd, Suite B-c, Palmdale, California or can call on customer care at 661-273-2556.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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