Goerig, Jessica D

Goerig, Jessica D is an individual health care provider with primary practice located at 33971 Selva Rd Ste 200 , Dana Point CA 92629-3782. 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. Goerig, Jessica D can be contacted via phone (949) 276-2600.

Contact Information

Primary practice address
33971 Selva Rd Ste 200 Dana Point CA 92629-3782
Phone: (949) 276-2600
Fax: (949) 276-2601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 19810 California

Profile Details

NPI number 1053496927
LBN Legal business name Goerig, Jessica D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Oct 8th, 2018 - about 8 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 1053496927 NPPES
California Other 1538405766 TRICARE PPO
California Other 1538405766 TRICARE PPO
California Other 1538405766 TRICARE PPO
California Other 1538405766 TRICARE PPO
California Other 1538405766 TRICARE PPO
California Other 1538405766 TRICARE PPO
California Other 1538405766 TRICARE PPO

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