David R Jensen MD a Professional Corporation
David R Jensen MD a Professional Corporation is a Primary Care Clinic/Center in Palmdale, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 7
Practice location Address checks out
3011 Rancho Vista Blvd Ste B-CPalmdale, CA 93551-4821
Phone: (661) 273-2556
Fax: (661) 267-4847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence G044704 (CA) |
|---|---|
| Clinical Medical Laboratory | Taxonomy 291U00000X · Licence G044704 (CA) |
| Exclusive Provider Organization | Taxonomy 302F00000X · Licence G044704 (CA) |
| Health Maintenance Organization | Taxonomy 302R00000X · Licence G044704 (CA) |
| Preferred Provider Organization | Taxonomy 305R00000X · Licence G044704 (CA) |
| Oxygen Equipment & Supplies (DME) | Taxonomy 332BX2000X · Licence G044704 (CA) |
| Mail Order Pharmacy | Taxonomy 3336M0002X · Licence G044704 (CA) |
Record details
| NPI number | 1518228980 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Jensen — Owner · (661) 273-2556 |
| NPI enumerated | June 1, 2012 |
| Last updated in NPPES | June 1, 2012 |
| Mailing address | 3011 Rancho Vista Blvd, Suite B-C, Palmdale, CA 93551-4821 |
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