Individual
AMANDA ROSE JI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8788 JAMACHA RD, SPRING VALLEY, CA 91977-4035
(619) 515-2555
(619) 462-5584
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 269-0678
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A169342
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2016
Last updated
06/30/2023
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