Individual
DR. JESSE P JOAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-3189
(916) 734-4757
Mailing address
2516 STOCKTON BLVD, DEPARTMENT OF PEDIATRICS, SACRAMENTO, CA 95817-2208
(916) 734-3189
(916) 734-4757
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
C42593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRW021042
MEDI-CAL
CA
Enumeration date
11/15/2005
Last updated
07/08/2007
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