Tracy L Donnelly
Medical Specialty
Professional ID
- NPI: 1538546650
- PECOS ID: 2668776204
- Enrollment ID: I20160202002041
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2015
Medical Practices
- Organization Name: Southern California Permanente Medical Group
- Group Practice ID assigned by PECOS: 6002729175
- Number of Group Practice member: 8102
Location
- Address1: 4725 W Sunset Blvd
- Address2: Suite 4733
- City: Los Angeles
- State: California
- Zip Code: 90027
- Phone Number: (323)783-4011
Location
- Address1: 4733 W Sunset Blvd
- Address2: Rmg09
- City: Los Angeles
- State: California
- Zip Code: 90027
- Phone Number: (213)667-4784
Location
- Address1: 4867 W Sunset Blvd
- Address2:
- City: Los Angeles
- State: California
- Zip Code: 90027
- Phone Number: (323)783-4011
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):