Sander, Jacquelyn

Sander, Jacquelyn is an sole proprietor health care provider with primary practice located at 1106 S Pacific Coast Hwy , Redondo Beach CA 90277-4902. 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. Sander, Jacquelyn can be contacted via phone (310) 316-1661.

Contact Information

Primary practice address
1106 S Pacific Coast Hwy Redondo Beach CA 90277-4902
Phone: (310) 316-1661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 54005 California

Profile Details

NPI number 1881136570
LBN Legal business name Sander, Jacquelyn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2016
Last updated Dec 19th, 2016 - about 10 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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