Provider Demographics
NPI:1487602108
Name:REED, JANA KOKKONEN (MD)
Entity type:Individual
Prefix:DR
First Name:JANA
Middle Name:KOKKONEN
Last Name:REED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 HALCYON ROAD
Mailing Address - Street 2:ARROYO GRANDE COMMUNITY HOSPITAL MEDICAL STAFF OFFICE
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-3899
Mailing Address - Country:US
Mailing Address - Phone:805-473-7601
Mailing Address - Fax:
Practice Address - Street 1:2150 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:CAMBRIA
Practice Address - State:CA
Practice Address - Zip Code:93428-3022
Practice Address - Country:US
Practice Address - Phone:805-440-3283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74178207P00000X
MDD0062333207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine