Jennifer Nicole Rugala Persicone
Medical Specialty
Professional ID
- NPI: 1205104551
- PECOS ID: 3779861299
- Enrollment ID: I20161103000130
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2001
Medical Practices
- Organization Name: Blue Moon Senior Counseling Of California Llc
- Group Practice ID assigned by PECOS: 9335360981
- Number of Group Practice member: 8
Location
- Address1: 6310 San Vicente Blvd
- Address2: Suite 350
- City: Los Angeles
- State: California
- Zip Code: 90048
- Phone Number: (855)241-7160
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):