Individual provider · Type 1 NPI

Cynthia Bearden Jernigan, PA-C

Medical Physician Assistant · Los Angeles, CA

NPI number 1174542104 Active

Practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Call (310) 478-3711 Map

Fax (310) 268-4812

Mailing address

19413 Craigjon Ave
Carson, CA 90746-2822

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10867 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1174542104

Cynthia Bearden Jernigan, PA-C's National Provider Identifier is 1174542104, issued on Jul 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.