Provider Demographics
NPI:1457854770
Name:MIKHAIL, JENNIFER DANIELLE (DO)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:DANIELLE
Last Name:MIKHAIL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2901 N VENTURA RD STE 110
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-9705
Mailing Address - Country:US
Mailing Address - Phone:059-816-1638
Mailing Address - Fax:805-981-6189
Practice Address - Street 1:2901 N VENTURA RD STE 110
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-9705
Practice Address - Country:US
Practice Address - Phone:805-981-6163
Practice Address - Fax:805-981-6189
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A20103207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology