Timboe, Jenna K
Timboe, Jenna K is an individual health care provider with primary practice located at 1300 Avenida Vista Hermosa Ste 200 , San Clemente CA 92673-6338. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Timboe, Jenna K can be contacted via phone (949) 429-7700.Contact Information
Primary practice address
1300 Avenida Vista Hermosa Ste 200
San Clemente CA 92673-6338
Phone: (949) 429-7700
Fax: (949) 429-7704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A134953 | California |
Profile Details
| NPI number | 1114362894 |
|---|---|
| LBN Legal business name | Timboe, Jenna K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2013 |
| Last updated | Jul 31st, 2019 - about 7 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 | 1114362894 | NPPES |
| California | MEDICAID | 1114362894 |
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