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JENNIFER AN
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1184019861
Individual Registrant: JENNIFER AN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
150 HARBOUR WAY N RICHMOND, CA 94804-2426 US
Tel: 510-237-9537 Fax: --
Tel: 510-237-9537 Fax: --
Contact information for business:
150 HARBOUR WAY N RICHMOND, CA 94804-2426 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1184019861
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | IL | 125067113 |
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | CA | 162236 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
