Gros, Jennifer Anne

Gros, Jennifer Anne is an individual health care provider with primary practice located at 23371 Mulholland Dr Ste 343 , Woodland Hills CA 91364-2734. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gros, Jennifer Anne can be contacted via phone (310) 621-3502.

Contact Information

Primary practice address
23371 Mulholland Dr Ste 343 Woodland Hills CA 91364-2734
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA17437 California

Profile Details

NPI number 1558466219
LBN Legal business name Gros, Jennifer Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 7th, 2023 - about last year

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 1558466219 NPPES
California Other 17437 STATE LICENSE

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