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Evan Justin Jensen, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1659121358

Evan Justin Jensen is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Evan Justin Jensen practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Evan Justin Jensen is 1659121358 and holds a License No. (California).

The current practice location address for Evan Justin Jensen is 4077 Fifth Ave # Mer-35, San Diego, CA and can be reached out via phone at 858-832-2478.

Location: 4077 Fifth Ave # Mer-35, San Diego, CA, 92103-2105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659121358
Provider Name
Evan Justin Jensen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4077 Fifth Ave # Mer-35, San Diego, CA, 92103-2105
Phone Number
858-832-2478
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4077 Fifth Ave # Mer-35
City
San Diego
State
California
Zip
92103-2105
Phone Number
858-832-2478
Fax Number
person
Provider Business Mailing Address Details
Address
4077 Fifth Ave # Mer-35
City
San Diego
State
California
Zip
92103-2105
Phone Number
858-832-2478
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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