Individual
AMY L UNDERWOOD-JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26800 CROWN VALLEY PKWY, SUITE 305, MISSION VIEJO, CA 92691-6384
(949) 364-6000
(949) 364-3213
Mailing address
26800 CROWN VALLEY PKWY STE 330, MISSION VIEJO, CA 92691-6384
(949) 364-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A61697
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A616970
—
CA
Enumeration date
01/04/2006
Last updated
11/11/2021
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