Provider Demographics
NPI:1114314846
Name:ATIENZA, JENNIFER GARMA (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:GARMA
Last Name:ATIENZA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ATIENZA
Other - Last Name:DUYANEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2410 SENTER RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95111-1040
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2150 N 1ST ST STE 650
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2031
Practice Address - Country:US
Practice Address - Phone:408-964-7300
Practice Address - Fax:408-964-7250
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1438362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry