Gros, Jennifer Anne
Gros, Jennifer Anne is an individual health care provider with primary practice located at 23371 Mulholland Dr Ste 343 , Woodland Hills CA 91364-2734. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gros, Jennifer Anne can be contacted via phone (310) 621-3502.Contact Information
Primary practice address
23371 Mulholland Dr Ste 343
Woodland Hills CA 91364-2734
Phone: (310) 621-3502
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA17437 | California |
Profile Details
| NPI number | 1558466219 |
|---|---|
| LBN Legal business name | Gros, Jennifer Anne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558466219 | NPPES |
| California | Other | 17437 | STATE LICENSE |
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