Garner, Amanda Jean

Garner, Amanda Jean is an sole proprietor health care provider with primary practice located at 13652 Cantara St , Panorama City CA 91402-5423. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Garner, Amanda Jean can be contacted via phone (818) 375-2013.

Contact Information

Primary practice address
13652 Cantara St Panorama City CA 91402-5423
Phone: (818) 375-2013
Fax: (818) 375-3802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A79080 California

Profile Details

NPI number 1609818780
LBN Legal business name Garner, Amanda Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Dec 2nd, 2021 - about 3 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 1609818780 NPPES
California MEDICAID 00A790800

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