JENICE STANIFORD NPI 1720233463

NPI Information

JENICE STANIFORD is a point of service in San Diego, CA. The provider is 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. JENICE STANIFORD NPI is 1720233463. The provider is registered as an organization entity type.

The provider's business location address is:

4626 59TH ST
SAN DIEGO, CA
ZIP 92115-830
Phone: (619) 286-0677

The provider's authorized official is Jenice Lorena Staniford .
The authorized official title is Therapist and has the following contact phone number (619) 286-0677.

The enumeration date for this NPI number is 11/21/2008 and was last updated on 11/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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