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Jessie De La O

  • Male

Medical Specialty

Professional ID

  • NPI: 1972720597
  • PECOS ID: 6901824291
  • Enrollment ID: I20051104000443
  • Credential(MD, DO, DPM): PA
  • Medical School: Stanford University School Of Medicine
  • Medical School Graduation Year: 2004

Hospital Service

  • Hospital CCN1: 050235
  • Business Name (LBN)1: Providence Saint Joseph Medical Ctr

Medical Practices

  • Organization Name: Providence Medical Institute
  • Group Practice ID assigned by PECOS: 5991609737
  • Number of Group Practice member: 230

Location

  • Address1: 21501 Avalon Blvd
  • Address2: Suite 100
  • City: Carson
  • State: California
  • Zip Code: 90745
  • Phone Number: (310)835-6627

Location

  • Address1: 24035 Newhall Ranch Rd
  • Address2:
  • City: Santa Clarita
  • State: California
  • Zip Code: 91355
  • Phone Number: (661)291-3444

Medicare

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