Individual ProviderJennifer Prehn KiousInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1245 16th St, Suite 125, Santa Monica, CA 90404-1235(310) 319-4377PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Prehn Kious 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 6 days ago.Profile DetailsProvider ID1609070242Provider TypeIndividualFull NameKious, Jennifer PrehnCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/14/2007Last Updated3/24/2010Contact InformationPractice LocationPractice Address1245 16th St, Suite 125, Santa Monica, CA 90404-1235Phone(310) 319-4377Fax(310) 319-4425Mailing LocationMailing Address1245 16th St, Suite 125, Santa Monica, CA 90404-1235Phone(310) 319-4377Fax(310) 319-4425Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA94614CaliforniaProvider IdentifiersIDDescriptionIssuerID00A946140DescriptionMedicaidIssuerUnlistedCalifornia