Wusterbarth, Jessica A

Wusterbarth, Jessica A is an individual health care provider with primary practice located at 100 22Nd St 10, Hermosa Beach CA 90254-2523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wusterbarth, Jessica A can be contacted via phone (310) 707-3471.

Contact Information

Primary practice address
100 22Nd St 10 Hermosa Beach CA 90254-2523
Phone: (310) 707-3471
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17615 California

Profile Details

NPI number 1487742607
LBN Legal business name Wusterbarth, Jessica A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jul 9th, 2007 - about 17 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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