Individual
DR. JENNIFER MARIE HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
31 COLUMBIA, ALISO VIEJO, CA 92656-1460
(949) 445-7300
Mailing address
31 COLUMBIA, ALISO VIEJO, CA 92656-1460
(949) 445-7300
Taxonomy
Speciality
Code
Description
License number
State
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
Primary
A121115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A121115
CALIFORNIA STATE MEDICAL BOARD
CA
Enumeration date
09/17/2007
Last updated
03/31/2021
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