Individual
DR. RICHARD GORDON JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4767 OCEAN BLVD, 501, SAN DIEGO, CA 92109-2460
(858) 750-2700
Mailing address
4767 OCEAN BLVD, 501, SAN DIEGO, CA 92109-2460
(858) 750-2700
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CFE43146
LICENSE CALIFORNIA
CA
Enumeration date
02/05/2013
Last updated
02/05/2013
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