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Individual

DR. JYOTSNA KENI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11160 WARNER AVE, SUITE 117, FOUNTAIN VALLEY, CA 92708-4008
(714) 432-1950
(714) 432-1953
Mailing address
11160 WARNER AVE, SUITE 117, FOUNTAIN VALLEY, CA 92708-4008
(714) 432-1950

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A98869
CA
2080P0205X
Pediatric Endocrinology Physician
Primary
A98869
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A98869
MEDICAL LICENSE NUMBER
CA
Enumeration date
12/16/2008
Last updated
03/07/2023
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