Individual
JENNIFER SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3151 AIRWAY AVE STE G1, COSTA MESA, CA 92626-4624
(714) 545-5550
(714) 708-2588
Mailing address
3151 AIRWAY AVE STE G1, COSTA MESA, CA 92626-4624
(714) 545-5550
(714) 708-2588
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51365
CA
Other
Enumeration date
03/27/2014
Last updated
01/08/2025
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