MEDICARE: DR. JENNIFER A. NAMAZY M.D.

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	207K00000X	Allergy & Immunology Physician	A74328	CA

General Provider Information

NPI Number	:	1831160019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER A. NAMAZY M.D.

Provider Business Mailing Address
First Line	:	10790 RANCHO BERNARDO RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92127-5705
Country	:	US
Telephone Number	:	619-245-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	7565 MISSION VALLEY RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-4431
Country	:	US
Telephone Number	:	619-245-2900
Fax Number	:

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	10/16/2018

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