Individual
BRUCE W. JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8001 MADISON AVE, CITRUS HEIGHTS, CA 95610-7901
(916) 536-2400
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C36236
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810342990
PHCS
CA
01
—
00C362360
BLUE SHIELD
CA
05
—
00C362360
—
CA
01
—
1089814
GREAT WEST
CA
01
—
13820
FIRST HEALTH
CA
01
—
1454451
UNITED HEALTHCARE
CA
01
—
3170839
CIGNA
CA
01
—
4066262
AETNA
CA
01
—
90014858
PACIFICARE
CA
01
—
9525
INTERPLAN
CA
01
—
C36236
BLUE CROSS
CA
01
—
MCMG127400
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/26/2006
Last updated
02/10/2012
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