Individual
JENNIFER T. DONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 517-3150
Mailing address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 517-3150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
236525-1
NY
207P00000X
Emergency Medicine Physician
Primary
A91286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02736890
—
NY
01
—
2337Q1
BLUECROSS BLUESHIELD
NY
Enumeration date
04/18/2006
Last updated
10/16/2021
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