Jensen, Lilian

Jensen, Lilian is an individual health care provider with primary practice located at 191 S Buena Vista St Suite 150, Burbank CA 91505-4504. 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. Jensen, Lilian can be contacted via phone (818) 295-5920.

Contact Information

Primary practice address
191 S Buena Vista St Suite 150 Burbank CA 91505-4504
Phone: (818) 295-5920
Fax: (818) 295-6965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 15126 California

Profile Details

NPI number 1992771232
LBN Legal business name Jensen, Lilian
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Oct 15th, 2008 - about 18 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 1992771232 NPPES
California Other 95-4427817 TAX IDENTIFICATION NUMBER

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