Provider Demographics
NPI:1104073097
Name:VENTURA, JEANNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:
Last Name:VENTURA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3350 LA JOLLA VILLAGE DRIVE
Mailing Address - Street 2:VA SAN DIEGO HEALTHCARE SYSTEM (119)
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-5447
Mailing Address - Country:US
Mailing Address - Phone:858-552-8585
Mailing Address - Fax:858-552-7852
Practice Address - Street 1:3350 LA JOLLA VILLAGE DRIVE
Practice Address - Street 2:VA SAN DIEGO HEALTHCARE SYSTEM (119)
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-5447
Practice Address - Country:US
Practice Address - Phone:858-552-8585
Practice Address - Fax:858-552-7852
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61443183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist