Individual
MS. AMBER JANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(541) 778-6568
Mailing address
434 1/2 BOND ST, REDLANDS, CA 92373-5862
(541) 778-6568
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52982
CA
363AM0700X
Medical Physician Assistant
52982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52982
STATE BOARD
CA
Enumeration date
10/23/2015
Last updated
09/21/2023
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