Individual
AMITA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9339 GENESEE AVE, SUITE 220, SAN DIEGO, CA 92121-2119
(858) 455-7520
(858) 455-5461
Mailing address
9339 GENESEE AVE STE 220, SAN DIEGO, CA 92121-2196
(858) 455-7520
(858) 554-1312
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A103235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-0627190
TAX ID
—
Enumeration date
09/10/2008
Last updated
06/06/2019
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