Healthcare Provider Details

I. General information

NPI: 1003319609
Provider Name (Legal Business Name): AMBER JONES DO MPH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2018
Last Update Date: 03/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 JOSE LN
MARTINEZ CA
94553-9795
US

IV. Provider business mailing address

121 JOSE LN
MARTINEZ CA
94553-9795
US

V. Phone/Fax

Practice location:
  • Phone: 925-876-3652
  • Fax:
Mailing address:
  • Phone: 925-876-3652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AMBER JONES
Title or Position: PRESIDENT
Credential: DO MPH
Phone: 925-876-3652