Dal Poggetto, Jennifer A

Dal Poggetto, Jennifer A is an individual health care provider with primary practice located at 12401 Washington Blvd , Whittier CA 90602-1006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dal Poggetto, Jennifer A can be contacted via phone (562) 698-0811.

Contact Information

Primary practice address
12401 Washington Blvd Whittier CA 90602-1006
Phone: (562) 698-0811
Fax: (818) 587-2493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15112 California

Profile Details

NPI number 1578508503
LBN Legal business name Dal Poggetto, Jennifer A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578508503 NPPES
California MEDICAID PA15112

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