Penvose-Yi, Jan R

Penvose-Yi, Jan R is an individual health care provider with primary practice located at 3998 Vista Way Ste C , Oceanside CA 92056-4514. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Penvose-Yi, Jan R can be contacted via phone (760) 385-8008.

Contact Information

Primary practice address
3998 Vista Way Ste C Oceanside CA 92056-4514
Phone: (760) 385-8008
Fax: (760) 385-8007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X P132992 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 238705 New York

Profile Details

NPI number 1932203478
LBN Legal business name Penvose-Yi, Jan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Apr 23rd, 2018 - about 6 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 1932203478 NPPES
New York Other 000528650003 BCBS
New York Other 00027679002 BCBS
New York MEDICAID 02780101 BCBS
New York Other 0713851 BCBS

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