Doumas, Jennifer Wood

Doumas, Jennifer Wood is an individual health care provider with primary practice located at 10538 Mission Gorge Rd Ste 100, Santee CA 92071-3154. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Doumas, Jennifer Wood can be contacted via phone (619) 456-0033.

Contact Information

Primary practice address
10538 Mission Gorge Rd Ste 100 Santee CA 92071-3154
Phone: (619) 456-0033
Fax: (619) 456-0095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20A5707 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A5707 California

Profile Details

NPI number 1124038328
LBN Legal business name Doumas, Jennifer Wood
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Feb 12th, 2019 - about 5 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 1124038328 NPPES
California MEDICAID 00AX57070

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