Individual
JENNIFER MADRIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2675 W OLYMPIC BLVD, LOS ANGELES, CA 90006-2880
(213) 383-9955
Mailing address
1117 BUNBURY DR, WHITTIER, CA 90601-1212
(213) 383-9955
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20065
PHYSICIAN ASSISTANT
CA
Enumeration date
02/04/2009
Last updated
02/04/2009
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