Individual
JENNY CHEN GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2577 SAMARITAN DR, SUITE 830, SAN JOSE, CA 95124-4100
(408) 356-1319
(408) 356-6296
Mailing address
2577 SAMARITAN DR, SUITE 830, SAN JOSE, CA 95124-4100
(408) 356-1319
(408) 356-6296
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G84517
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G84517
STATE LICENSE
CA
Enumeration date
01/11/2007
Last updated
08/29/2022
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