Organization · Type 2 NPI

Jenice Staniford

Point of Service · San Diego, CA

NPI number 1720233463 Active

Practice location

4626 59th St
San Diego, CA 92115-3830

Call (619) 286-0677 Map

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XMLO21394 (CA)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1720233463

Jenice Staniford's National Provider Identifier is 1720233463, issued on Nov 21, 2008. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in San Diego, CA. The record was last updated on Nov 21, 2008.