Moranda, Jennifer L

Moranda, Jennifer L is an individual health care provider with primary practice located at 2410 Sonoma St Suite 1, Redding CA 96001-3029. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moranda, Jennifer L can be contacted via phone (530) 243-3339.

Contact Information

Primary practice address
2410 Sonoma St Suite 1 Redding CA 96001-3029
Phone: (530) 243-3339
Fax: (530) 324-3582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A88874 California

Profile Details

NPI number 1407894702
LBN Legal business name Moranda, Jennifer L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 7th, 2019 - about 5 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 1407894702 NPPES
California MEDICAID 00A888740

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