Individual
DR. JENNA EDIN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4077 FIFTH AVE # MER35, SAN DIEGO, CA 92103-2105
(715) 587-8171
Mailing address
435 H ST, CHULA VISTA, CA 91910-4307
(715) 587-8171
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
20A20987
CA
Other
Enumeration date
03/24/2020
Last updated
01/28/2024
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