Individual ProviderJason K AnEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address4445 Magnolia Ave, Riverside Community Hospital Dept Of Emergency Medicine, Riverside, CA 92501-4135(951) 684-3910PECOS EnrollmentThis provider is enrolled in PECOS as JASON AN.Based on the most recent information from CMS, provider Jason K An is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1851533905Provider TypeIndividualFull NameAn, Jason KCredentialM.D.GenderMaleSole ProprietorYesEnumeration Date4/2/2009Last Updated2/6/2013Contact InformationPractice LocationPractice Address4445 Magnolia Ave, Riverside Community Hospital Dept Of Emergency Medicine, Riverside, CA 92501-4135Phone(951) 684-3910FaxUnlisted FaxMailing LocationMailing Address4445 Magnolia Ave, Riverside Community Hospital Dept Of Emergency Medicine, Riverside, CA 92501-4135Phone(951) 684-3910FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseA113121CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer