Healthcare Provider Details

I. General information

NPI: 1982525440
Provider Name (Legal Business Name): JENNIFER CRISTINE LEDESMA RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E NAPLES CT
CHULA VISTA CA
91911-6821
US

IV. Provider business mailing address

3330 LOGAN AVE
SAN DIEGO CA
92113-2624
US

V. Phone/Fax

Practice location:
  • Phone: 619-482-6010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number92003
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: