Individual
DR. IAN HAROLD JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 471-9198
(619) 543-8255
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A87009
CA
208M00000X
Hospitalist Physician
Primary
A87009
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A870090
—
CA
Enumeration date
04/27/2006
Last updated
09/20/2017
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