Jenkins, Richard Gordon
Jenkins, Richard Gordon is an sole proprietor health care provider with primary practice located at 4767 Ocean Blvd 501, San Diego CA 92109-2460. He recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as his primary health care specialty. Jenkins, Richard Gordon can be contacted via phone (858) 750-2700.Contact Information
Primary practice address
4767 Ocean Blvd 501
San Diego CA 92109-2460
Phone: (858) 750-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Local Education Agency (LEA) | 251300000X |
Profile Details
| NPI number | 1972842318 |
|---|---|
| LBN Legal business name | Jenkins, Richard Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2013 |
| Last updated | Feb 5th, 2013 - about 13 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 | 1972842318 | NPPES |
| California | Other | CFE43146 | LICENSE CALIFORNIA |
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