Healthcare Provider Details

I. General information

NPI: 1417761685
Provider Name (Legal Business Name): JANE VO PHARM.D., BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9898 GENESEE AVE
LA JOLLA CA
92037-1205
US

IV. Provider business mailing address

12070 EASTBOURNE RD
SAN DIEGO CA
92128-4303
US

V. Phone/Fax

Practice location:
  • Phone: 858-554-5595
  • Fax:
Mailing address:
  • Phone: 858-414-3119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number52642
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: