Goff, Jeanine Lee

Goff, Jeanine Lee is an individual health care provider with primary practice located at 250 S Grand Ave , Glendora CA 91741-4218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goff, Jeanine Lee can be contacted via phone (626) 857-3170.

Contact Information

Primary practice address
250 S Grand Ave Glendora CA 91741-4218
Phone: (626) 857-3170
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP12257 California

Profile Details

NPI number 1225072390
LBN Legal business name Goff, Jeanine Lee
Credentials Family Nurse Practitioner (FNP)
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 1225072390 NPPES
California MEDICAID NP12257

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