HealthDirectory.us

Jack Middlebrooks

• Male

Medical Specialty

• Internal Medicine

Professional ID

• NPI: 1497786008
• PECOS ID: 0143243097
• Enrollment ID: I20060106000426
• Credential(MD, DO, DPM): MD
• Medical School: University Of California Ucla School Of Medicine
• Medical School Graduation Year: 2000

Hospital Service

• Hospital CCN1: 050678
• Business Name (LBN)1: Orange Coast Memorial Medical Center

Medical Practices

• Organization Name: Edinger Medical Group Inc
• Group Practice ID assigned by PECOS: 6204863269
• Number of Group Practice member: 14

Location

• Address1: 18682 Beach
• Address2: Suite 155
• City: Huntington Beach
• State: California
• Zip Code: 92648
• Phone Number: (714)965-2500

Location

• Address1: 9900 Talbert Ave
• Address2: Suite 302
• City: Fountain Valley
• State: California
• Zip Code: 92708
• Phone Number: (714)965-2500

Medicare

• Medicare Assignment: Yes
• Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
• Used Electronic health record (EHR): Yes