Provider Demographics
NPI:1699759944
Name:NEFF, JENNIFER ANN (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:NEFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3142 VISTA WAY
Mailing Address - Street 2:STE 303
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-3619
Mailing Address - Country:US
Mailing Address - Phone:760-630-2655
Mailing Address - Fax:760-630-3542
Practice Address - Street 1:2804 ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1619
Practice Address - Country:US
Practice Address - Phone:760-730-9992
Practice Address - Fax:760-720-0897
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2012-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA80392207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW111117Medicare ID - Type Unspecified