| David R Jensen Md A Professional Corporation | |
|
3011 Rancho Vista Blvd Suite B-c Palmdale CA 93551-4821 | |
| (661) 273-2556 | |
| (661) 267-4847 |
| Full Name | David R Jensen Md A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3011 Rancho Vista Blvd, Palmdale, California |
| Authorized Official Name and Position | David Richard Jensen (OWNER) |
| Authorized Official Contact | 6612732556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R Jensen Md A Professional Corporation 3011 Rancho Vista Blvd Suite B-c Palmdale CA 93551-4821 Ph: (661) 273-2556 | David R Jensen Md A Professional Corporation 3011 Rancho Vista Blvd Suite B-c Palmdale CA 93551-4821 Ph: (661) 273-2556 |
| NPI Number | 1518228980 |
|---|---|
| Provider Enumeration Date | 06/01/2012 |
| Last Update Date | 06/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518228980 | NPI | - | NPPES |
| G044704 | Medicaid | CA |
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