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Jenice Staniford
Point of Service in San Diego, California
NPI 1720233463

Jenice Staniford is a Point of Service based in San Diego, CA. Jenice Staniford practices in San Diego, CA. The NPI Number for Jenice Staniford is 1720233463 and holds a License No. MLO21394 (California).

The current practice location address for Jenice Staniford is 4626 59Th St, San Diego, CA and can be reached out via phone at 619-286-0677.

Location: 4626 59Th St, San Diego, CA, 92115-3830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720233463
Provider Name
Jenice Staniford
Credential
Provider Entity Type
Organization
Address
4626 59Th St, San Diego, CA, 92115-3830
Phone Number
619-286-0677
Fax Number
Provider Enumeration Date
11/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4626 59Th St
City
San Diego
State
California
Zip
92115-3830
Phone Number
619-286-0677
Fax Number
person
Provider Business Mailing Address Details
Address
4626 59Th St
City
San Diego
State
California
Zip
92115-3830
Phone Number
619-286-0677
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
MLO21394 (California)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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