Jessica Dominique Saint-Paul in Los Angeles - Physician Assistant
Jessica Dominique Saint-Paul - NPI 1548369119
Jessica Dominique Saint-Paul is a Physician Assistant in Los Angeles, California. Jessica Dominique Saint-Paul practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessica Dominique Saint-Paul is 1548369119. The last update date is 2020-12-17.
Jessica Dominique Saint-Paul's current location address is 8732 S Sepulveda Blvd Fl 2, Los Angeles, California. You can contact this provider via phone number 8312003774 and fax number 3239680006. The mailing address for Jessica Dominique Saint-Paul is 8732 S Sepulveda Blvd Fl 2, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Dominique Saint-Paul |
|---|---|
| Address | 8732 S Sepulveda Blvd Fl 2, Los Angeles, California |
| Phone Number | 8312003774 |
| Fax Number | 3239680006 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1548369119 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2020-12-17 |
Provider Mailing Address Detail
| Address | 8732 S Sepulveda Blvd Fl 2 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900454031 |
| Phone Number | 8312003774 |
| Fax Number | 3239680006 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA17893 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Jessica Dominique Saint-Paul by the Centers for Medicare & Medicaid Services?
The Jessica Dominique Saint-Paul has been issued the NPI (National Provider Identifier) 1548369119. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jessica Dominique Saint-Paul?
The Jessica Dominique Saint-Paul is physically situated at 8732 S Sepulveda Blvd Fl 2, in the city of Los Angeles, state of CA, with the postal code 900454031.
What is the Jessica Dominique Saint-Paul's specialty and taxonomy code?
The Jessica Dominique Saint-Paul's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548369119 to Jessica Dominique Saint-Paul?
The Jessica Dominique Saint-Paul received its 1548369119 assignment from the Centers for Medicare & Medicaid Services on 2006-09-21.
As of what date were the details pertaining to Jessica Dominique Saint-Paul last refreshed?
The information related to the Jessica Dominique Saint-Paul, including its address, specialty, and other relevant details, was last updated on 2020-12-17.