MEDICARE: JENNIFER KANGAS

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1053750836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER KANGAS

Provider Business Mailing Address
First Line	:	2442 IOWA AVE
Second Line	:	APT. E6
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92415-0001
Country	:	US
Telephone Number	:	909-252-4010
Fax Number	:

Provider Business Practice Location Address
First Line	:	2442 IOWA AVENUE
Second Line	:	APT. E6
City	:	RIVERSIDE
State	:	CA
Zip	:	92507
Country	:	US
Telephone Number	:	951-505-2706
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2013
Last Update Date	:	07/03/2013

Similar Medicare Providers

1629890280 — ORQUIDEA GARCIA
Practice Location Address:

2085 RUSTIN AVE STE 1
RIVERSIDE, CA
92507-2498

Practice Phone: 951-955-7320
Practice Fax:

1700710589 — CYNTHIA CASTELLANOS
Practice Location Address:

1650 SPRUCE ST STE 250
RIVERSIDE, CA
92507-7429

Practice Phone: 760-634-1125
Practice Fax:

1487586343 — SABRINA PLASENCIA
Practice Location Address:

1650 SPRUCE ST
RIVERSIDE, CA
92507-7402

Practice Phone: 760-634-1125
Practice Fax:

1770868580 — WALGREEN CO
Practice Location Address:

1745 UNIVERSITY AVE
RIVERSIDE, CA
92507-5343

Practice Phone: 951-684-5661
Practice Fax:

1073447744 — HEAVENLY RAMIREZ
Practice Location Address:

1737 ATLANTA AVE
RIVERSIDE, CA
92507-2442

Practice Phone: 818-285-8252
Practice Fax: 818-273-1831

1992449243 — KRISTEN S KIM
Practice Location Address:

5225 CANYON CREST DR BLDG 100
RIVERSIDE, CA
92507-6301

Practice Phone: 909-520-1851
Practice Fax:

1306770599 — JENNIFER J ESTRADA
Practice Location Address:

3939 CRANFORD AVE APT 12
RIVERSIDE, CA
92507-7226

Practice Phone: 909-403-7267
Practice Fax:

Directions to “ JENNIFER KANGAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.