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NPI Code Detail

MEDICARE: JENNY ESTRADA

MEDICARE: JENNY ESTRADA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker
2390200000XStudent in an Organized Health Care Education/Training ProgramCA
3101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1033732573
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNY ESTRADA
Provider Business Mailing Address
First Line : 1001 SNEATH LN
Second Line :
City : SAN BRUNO
State : CA
Zip : 94066-2308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 368 FELL ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-5144
Country : US
Telephone Number : 415-861-0828
Fax Number : 415-861-0140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2020
Last Update Date : 05/28/2026

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Directions to “ JENNY ESTRADA ” Practice Location

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