Katsuyama, Jennifer Dale

Katsuyama, Jennifer Dale is an individual health care provider with primary practice located at 2500 Merced St , San Leandro CA 94577-4201. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Katsuyama, Jennifer Dale can be contacted via phone (510) 454-1000.

Contact Information

Primary practice address
2500 Merced St San Leandro CA 94577-4201
Phone: (510) 454-1000
Fax: (925) 244-1457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA 20799 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 20799 California

Profile Details

NPI number 1841513900
LBN Legal business name Katsuyama, Jennifer Dale
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2010
Last updated Jan 3rd, 2022 - 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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