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Individual
BRUCE W. JENSEN
Active
Individual
BRUCE W. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C36236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810342990
PHCS
CA
01
—
00C362360
BLUE SHIELD
CA
05
—
00C362360
—
CA
01
—
1089814
GREAT WEST
CA
01
—
13820
FIRST HEALTH
CA
01
—
1454451
UNITED HEALTHCARE
CA
01
—
3170839
CIGNA
CA
01
—
4066262
AETNA
CA
01
—
90014858
PACIFICARE
CA
01
—
9525
INTERPLAN
CA
01
—
C36236
BLUE CROSS
CA
01
—
MCMG127400
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/26/2006
Last updated
02/10/2012
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