Individual
JESSICA G. KINGSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25455 BARTON RD STE 102B, LOMA LINDA, CA 92354-3139
(909) 558-2808
Mailing address
25455 BARTON RD STE 102B, LOMA LINDA, CA 92354-3139
(909) 558-2808
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
16603
NV
207X00000X
Orthopaedic Surgery Physician
454913
NV
207X00000X
Orthopaedic Surgery Physician
C202458
CA
207XX0801X
Orthopaedic Trauma Physician
16603
NV
207XX0801X
Orthopaedic Trauma Physician
454913
NV
207XX0801X
Orthopaedic Trauma Physician
Primary
C202458
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030393150001
—
PA
Enumeration date
06/16/2010
Last updated
09/29/2025
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