Individual provider · Type 1 NPI

Marissa Robin Jennings, PA-C

Medical Physician Assistant · Los Angeles, CA

NPI number 1245979095 Active

Practice location

808 W 58th St
Los Angeles, CA 90037-3632

Call (323) 541-1600 Map

Mailing address

3324 Castle Heights Ave Apt 109
Los Angeles, CA 90034-2736

Other practice locations

  • 2810 Ashley Phosphate Rd, North Charleston, SC 29418-6405 · (843) 553-7744
  • 5834 SW 9th Pl, Gainesville, FL 32607-3891 · (704) 999-5827

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X4517 (SC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X62675 (CA)

Medical Physician Assistant: Definition to come...

185 other providers at this address

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About NPI 1245979095

Marissa Robin Jennings, PA-C's National Provider Identifier is 1245979095, issued on May 31, 2022. 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 Jun 21, 2023.