Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

NA Jen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053726695

NA Jen is a Student in an Organized Health Care Education/Training Program in Monterey Park, California. Licensed in California, Colorado and Pennsylvania. Registered with an NPI since 2014.

Licensed in
CA, CO, PA
In the registry since
2014
Specialties on file
3

Practice location Address checks out

701 S Atlantic Blvd Ste 100
Monterey Park, CA 91754-3845
Phone: (626) 300-9980
Fax: (626) 300-9322
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 20A16741 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence OT015731 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DR.0059296 (CO)

Record details

NPI number1053726695
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 23, 2014
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address701 S Atlantic Blvd Ste 100, Monterey Park, CA 91754-3845

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