Jessica D Goerig in Dana Point - Physician Assistant

Jessica D Goerig - NPI 1053496927

Jessica D Goerig is a Physician Assistant in Dana Point, California. Jessica D Goerig practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jessica D Goerig is 1053496927. The last update date is 2018-10-08.

Jessica D Goerig's current location address is 33971 Selva Road, Dana Point, California. You can contact this provider via phone number 9492762600 and fax number 9492762601. The mailing address for Jessica D Goerig is 33971 Selva Road, Dana Point, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica D Goerig
Address 33971 Selva Road, Dana Point, California
Phone Number 9492762600
Fax Number 9492762601
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1053496927
Provider Enumeration Date 2006-10-26
Last Updated Date 2018-10-08

Provider Mailing Address Detail

Address 33971 Selva Road
City Dana Point
State California (CA)
Post Code 92629
Phone Number 9492762600
Fax Number 9492762601

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 19810
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1538405766 CA TRICARE PPO
1538405766 CA FIRST HEALTH PPO
1538405766 CA AETNA PPO
1538405766 CA BLUE CROSS BLUE SHIELD PPO
1538405766 CA MULTIPLAN PPO
1538405766 CA BLUE SHIELD PPO
1538405766 CA UNITED HEALTHCARE PPO

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FAQs about Jessica D Goerig

What is the unique provider identifier assigned to Jessica D Goerig?

The Jessica D Goerig has been issued the NPI (National Provider Identifier) 1053496927 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Jessica D Goerig?

The Jessica D Goerig is situated at 33971 Selva Road, in the city of Dana Point, state of CA, with the zip code 92629.

What is the area of specialization for Jessica D Goerig, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jessica D Goerig is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1053496927 to Jessica D Goerig?

The Centers for Medicare & Medicaid Services assigned the 1053496927 to Jessica D Goerig on 2006-10-26.

As of what date were the Jessica D Goerig's details last updated?

The information pertaining to the Jessica D Goerig, including its address, specialty, and other details, was most recently updated on 2018-10-08.

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