Estrada, Jennifer

Estrada, Jennifer is an individual health care provider with primary practice located at 3772 Tibbetts St , Riverside CA 92506-2605. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Estrada, Jennifer can be contacted via phone (888) 743-7526.

Contact Information

Primary practice address
3772 Tibbetts St Riverside CA 92506-2605
Phone: (888) 743-7526
Fax: (619) 291-0959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1719 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 17936 California

Profile Details

NPI number 1710982954
LBN Legal business name Estrada, Jennifer
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Aug 29th, 2016 - about 8 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 1710982954 NPPES
Wisconsin MEDICAID 41988300

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