# JENNIFER G. SHAW, MD, A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1912298704
- **Authorized official:** DR. JENNIFER G SHAW MD (PRESIDENT)
- **Authorized official phone:** (619) 260-7231

## Contact information

- **Practice address:** 4077 FIFTH AVE, SAN DIEGO, CA 92103
- **Practice address phone:** (619) 260-7231
- **Practice address fax:** (619) 260-7165
- **Mailing address:** 17101 SAINT ANDREWS DR, POWAY, CA 92064-1226
- **Mailing address phone:** (619) 260-7231
- **Mailing address fax:** (858) 312-8040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A88810 | CA | Yes |

## Other

- **Enumeration date:** 04/27/2011
- **Last updated:** 05/30/2016