# AJ PHYSICIAN ASSISTANT PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447057526
- **Authorized official:** AMANDA JENSEN PA-C (OWNER/EMPLOYEE)
- **Authorized official phone:** (408) 627-1126

## Contact information

- **Practice address:** 1617 THE STRAND AVE, SAN JOSE, CA 95120-3857
- **Practice address phone:** (408) 627-1126
- **Mailing address:** 1617 THE STRAND AVE, SAN JOSE, CA 95120-3857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 02/26/2025
- **Last updated:** 04/11/2025