Individual provider · Type 1 NPI

Jennifer Huddleston, PA

Medical Physician Assistant · Los Angeles, CA

NPI number 1962568865 Active

Practice location

1300 N Vermont Ave, Suite 707
Los Angeles, CA 90027-6005

Fax (323) 913-4570

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X15171 (CA)
Medical Physician Assistant Primary 363AM0700X15171 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1962568865

Jennifer Huddleston, PA's National Provider Identifier is 1962568865, issued on Dec 28, 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 Jan 8, 2016.