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Janet M Ma

Internal Medicine

Allopathic & Osteopathic Physicians

1245 16th St, Suite 125, Santa Monica, CA 90404-1235

PECOS Enrollment

This provider is enrolled in PECOS as JANET MA.

Based on the most recent information from CMS, provider Janet M Ma is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1164698098
Provider Type
Individual
Full Name
Ma, Janet M
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
4/30/2008
Last Updated
2/3/2014

Contact Information

Practice Location

1245 16th St, Suite 125, Santa Monica, CA 90404-1235

(310) 315-8900

(310) 315-8902

Mailing Location

1245 16th St Ste 125, Santa Monica, CA 90404-1240

(310) 315-8900

(310) 315-8902

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A108822 California
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License A108822 California

Provider Identifiers

ID	Description	Issuer
ID 1164698098	Description Medicaid	Issuer Unlisted California

Janet M Ma

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Mcgowan, Mark Scheer

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Wilkinson, Ariana

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