Tobon, Jennifer

Tobon, Jennifer is an sole proprietor health care provider with primary practice located at 566 S Brand Blvd , San Fernando CA 91340-4002. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Tobon, Jennifer can be contacted via phone (818) 898-0223.

Contact Information

Primary practice address
566 S Brand Blvd San Fernando CA 91340-4002
Phone: (818) 898-0223
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1720627433
LBN Legal business name Tobon, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2019
Last updated Sep 15th, 2023 - about 2 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 1720627433 NPPES
California Other 95-2633765 MEDI-CAL

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