Ng, Jennifer Rusnanto

Ng, Jennifer Rusnanto is an individual health care provider with primary practice located at 29525 Canwood St Ste 200 , Agoura Hills CA 91301-4230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ng, Jennifer Rusnanto can be contacted via phone (818) 699-6553.

Contact Information

Primary practice address
29525 Canwood St Ste 200 Agoura Hills CA 91301-4230
Phone: (818) 699-6553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95009670 California

Profile Details

NPI number 1225670318
LBN Legal business name Ng, Jennifer Rusnanto
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2019
Last updated May 13th, 2020 - about 4 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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