Individual ProviderJennifer SiegelPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029(323) 409-1000(323) 409-5515PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Siegel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1205416096Provider TypeIndividualFull NameSiegel, JenniferGenderFemaleSole ProprietorNoEnumeration Date4/14/2021Last Updated5/16/2024Contact InformationPractice LocationPractice Address1200 N State St, Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029Phone(323) 409-1000FaxUnlisted FaxMailing LocationMailing Address2010 Zonal Ave # 1p10, Los Angeles, CA 90033-1026Phone(323) 409-5515FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA184631CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer