Jennifer Jothen, D.o., A.p.c. | |
752 Medical Center Ct Ste 210 Chula Vista CA 91911-6660 | |
(619) 656-0206 | |
Not Available |
Full Name | Jennifer Jothen, D.o., A.p.c. |
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Speciality | Psychiatry & Neurology |
Location | 752 Medical Center Ct Ste 210, Chula Vista, California |
Authorized Official Name and Position | Jennifer Jothen (PRESIDENT) |
Authorized Official Contact | 2158374484 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jennifer Jothen, D.o., A.p.c. Po Box 181337 Coronado CA 92178-1337 Ph: () - | Jennifer Jothen, D.o., A.p.c. 752 Medical Center Ct Ste 210 Chula Vista CA 91911-6660 Ph: (619) 656-0206 |
NPI Number | 1558777490 |
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Provider Enumeration Date | 07/10/2014 |
Last Update Date | 07/10/2014 |
Medicare PECOS PAC ID | 3577784529 |
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Medicare Enrollment ID | O20141016001724 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558777490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 20A10603 (California) | Primary |
Provider Name | Jennifer L Jothen |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1891957221 PECOS PAC ID: 0446402259 Enrollment ID: I20121130000129 |
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