Individual
JENNIFER L. OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6555 COYLE AVE, CARMICHAEL, CA 95608-0302
(916) 536-2500
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G77329
CA
208M00000X
Hospitalist Physician
Primary
G77329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810342897
PHCS
CA
05
—
00G773290
—
CA
01
—
0348156
CIGNA
CA
01
—
052480
HEALTH NET
CA
01
—
1455399
UNITED HEALTHCARE
CA
01
—
2267735
FIRST HEALTH
CA
01
—
35349
INTERPLAN
CA
01
—
384604
GREAT WEST
CA
01
—
5368585
AETNA
CA
01
—
90087886
PACIFICARE
CA
01
—
G77329
BLUE CROSS
CA
01
—
MCMG171100
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/26/2006
Last updated
02/10/2012
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