Underwood-Jolly, Amy L
Underwood-Jolly, Amy L is an individual health care provider with primary practice located at 26800 Crown Valley Pkwy Suite 305, Mission Viejo CA 92691-6384. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Underwood-Jolly, Amy L can be contacted via phone (949) 364-6000.Contact Information
Primary practice address
26800 Crown Valley Pkwy Suite 305
Mission Viejo CA 92691-6384
Phone: (949) 364-6000
Fax: (949) 364-3213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A61697 | California |
Profile Details
| NPI number | 1992783633 |
|---|---|
| LBN Legal business name | Underwood-Jolly, Amy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Nov 11th, 2021 - about 5 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 | 1992783633 | NPPES |
| California | MEDICAID | 00A616970 |
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