MEDICARE: MRS. JENNIFER NOEL SAIKI PA-C

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	363A00000X	Physician Assistant	19694	CA

General Provider Information

NPI Number	:	1811169980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER NOEL SAIKI PA-C

Provider Business Mailing Address
First Line	:	7921 NOMAD CIR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-2364
Country	:	US
Telephone Number	:	714-369-2208
Fax Number	:

Provider Business Practice Location Address
First Line	:	7921 NOMAD CIR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-2364
Country	:	US
Telephone Number	:	714-369-2208
Fax Number	:

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

Provider Enumeration Date	:	03/29/2008
Last Update Date	:	03/29/2008

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